deyin registration

Registration Form

Qi & Mindfulness Summer Retreat 2023

11th - 14th August 2023

Please enter your details below, then click 'Continue' to go to the Confirmation page. Entry titles marked with an asterisk * are required.

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Your Details

First Name *

Last Name *

Email *

Phone *

Address 1 *

Address 2

Town

Post Code *

Country

(if in England, please leave blank)

T-shirt size - free for all participants *

Registration Details

Residential / Non Residential - Full Retreat Options (Fri - Mon)

Residential/Non Residential

Tick box if you are taking & sharing a room with a partner who is not taking part in any training - £330 extra

Name of person to Twin sharing with (if Known)

Note: Unless you specify a person to share, we will arrange someone to share with you.
If that is not possible then single room fee will apply!

Dietary Requirements

food Allergy

Day Delegate Options

Day Delegates (NO meals incl.) - Tick the Day/s you would like to partake
DON'T choose day delegate below if you sign up for Full Retreat

Friday Afternoon - Yi Jin Jing & Tui Na

Day Delegate - Day Options (Sat - Mon)

Saturday

Sunday

Monday

Forms to be revalidated (Deyin Forms only)

Please list the names of forms in box above for revalidation and we will get back to you with detail and costs of reval fees.

Payment Options

Discounts - Repeat particpant or EC member only

Payment Method *

Bank Transfer Details
Bank: TSB
Name: Deyin Event Management Ltd
Sort Code: 772710
Acc. No: 00062005
IBAN: GB84TSBS77271000062005
BIC: TSBSGB2AXXX

Comment

Please read the conditions on the
Event Participant Disclaimer

I accept all conditions on the Event Participant Disclaimer *

Payment Total £

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