7/25/2019 Generic Registration Form HOLOTROPIC November

1/3

Workshop Registration Form

Thank you for your interest in attending one of our Holotropic Breathwork workshops. To

register for a particular workshop please tell us which one what you would like to attend:

Date of the workshop I would like to attend: .............................................

If you have not previously breathed with Holotropicuk please also complete the GeneralInformation sheet for all breathers new to HolotropicUK page ! below".

#$%& '()*: please print"++++++++++++++++++++++++++++..+.............

(,,&*--:+++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++ *)(I (,,&*--:+++++++++++++..+.

T**/H$'*: H" +++++++++++++++ )"++++.++++++++++++++.

Early bird registration rates are available if you register and pay in full 6weeks before the date of the workshop:

&esidential workshops 0123:4511 in a shared twin en6suite room in the main house4571 single occupancy of a twin room in main house limited availability"

$ne6day workshops 6 4201

ormal workshop rates !"#$ are:&esidential workshops:

4551 in a shared twin en6suite room in the main house4311 single occupancy of a twin room in the main house limited availability"

$ne6day workshops 6 4251

Diet Information: I eat meat .%%%%.. I am a vegetarian.%%%%%&lease note:A fridge is available for personal use should you have specific diet requirements.

/lease post this &egistration 8orm to Holotropic%9 at: ! rove 8arm ;ottages< rove ane