Booking Form
Please print a copy of this form, complete it and post it with your payment to:
Goddess Within, c/o Healing Hands, 25 Broad Lane, Moldgreen, Huddersfield, HD5 9BX

Please make all cheques payable to "Goddess Within"

Booking/Cancellation Policy.
All deposits are non returnable. Where full fees have been paid we are happy to refund the remainder should you cancel the workshop with 21 days notice. Should Goddess Within cancel a workshop, fees will be refunded in full. Due to the nature of the event Goddess Camp fees are non-refundable.

Name of Workshop/Event you are booking:

Date of Workshop/Event you are booking:

Deposits and Fees

You can pay in full or send a non-returnable £45 deposit for all our two day workshops and £25 non returnable deposit on our one day workshops.

Goddess Camp - deposits are accepted up until 1st May 2010 (£48) with remainder payable before 31st May 2010. Bookings made after 31st May 2010 are payable in full.

If paying by card please include the following details.
The long number, valid from & expiry date, issue number and the three digit security code on the back of the signature strip.

TOTAL

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

Please use this space to inform us of any special requirements or needs you have:

PLEASE ANSWER THE FOLLOWING QUESTIONS:

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

We use incense 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?

The Goddess Camp involves a 4 mile " ceremonial" walk on the Lakeland Fells. It is recommended that you familiarise yourself with the terrain and asses your fitness before booking. The ceremonial walk is a central part of the Camp experience, however, if you do not wish to participate in the walk you are still welcome to attend the camp and make your own arrangements for the Saturday mid-morning and afternoon or simply enjoy the Eskdale Centre and local surroundings. For Camp booking will you be participating in the ceremonial walk?

Statement of Participation for Goddess Within Event
I understand that the workshop I am booking is for enjoyment purposes only and in no way represents any form of therapy. I understand that I am fully responsible for myself and my well-being whilst attending the workshop at both the workshop venue and during the outdoor parts of the workshop and/or camp. I further accept that no specific results can be guaranteed and that I am participating of my own free will. I further declare that I have no medical condition, either physical or psychological, that would prevent me from participating in this workshop or camp.I fully accept responsibility for understanding the terms on which this workshop/retreat is offered. I understand that it is meant to further my knowledge of the subject.

I confirm that all the information I have provided on this form is true and correct. I hereby state that I, or any persons acting on my behalf, will not hold or claim against Goddess Within or the course facilitators for any damages assumed or otherwise for any conditions, be it emotional, mental, spiritual, physical or financial relating to attendance on the course or event booked above.

Signed: _________________________________________ Print: ___________________________________ Dated: ________________________________