Booking Form
Please print a copy of this form, complete it and post it with your payment to: GoddessWithin, 25 Broad Lane, Moldgreen, Huddersfield, HD5 9BX

Please make all cheques payable to A. Chaloner.
Name:
Address:
 
Telephone Number:
Mobile:
E-mail:
Would you like to join our mailing list?  

Name of Workshop you are booking:

Date of Worksop you are booking:

 

Number of places:  
Deposit enclosed:
£40 for Journey to the Goddess Workshop and Rhiannon Workshop

£150 for the Residential Workshop in Cumbria
Please note all deposits are non-refundable.		 £

TOTAL


£
Please provide the names and address of any other attendees you have booked for:

 

 

Please tell us a little bit about any "Goddess" experience you have and why you are attending this workshop.

 

 
Do you require accommodation or travel details?

Please use this space to inform us of any special requirements or requests:

 

PLEASE ANSWER THE FOLLOWING QUESTIONS:

Do you have any allergies we need to be aware of?

We use inscense in our ceremonies, do you have any breathing difficulties?

We drink small amounts of mead in our ceremonies, are you OK with drinking alcohol?

Some of the workshop events take place outdoors and involve hill walking do you have any conditions which may prevent you from hill walking?

Do you need details of accommodation in the local area?

Upon receipt of your booking form and deposit payment we will send confirmation to you, this includes, directions to the workshop location, what to bring with you and and any special information you have requested.

Very many thanks for your booking.