Booking form and statement of interest

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					              INTRODUCTION TO SAND TRAY THERAPY

                                  BOOKING FORM



    NAME:


    PHONE NUMBERS: Home:

                              Mobile:

    EMAIL ADDRESS:


    I would like to book a place on the ‘Introduction to Sand Tray’ training
    for the following sessions:


    FRIDAY 17TH MAY 7- 9.30pm                                      YES        NO

    SATURDAY 18TH MAY 9.30 – 12.30am                               YES        NO

    SATURDAY 18TH MAY 1.30 – 4.30pm                                YES        NO


    I enclose (please circle as appropriate): £20 for 1 session

                                             £40 for 2 sessions

                                             £55 for 3 sessions (8 1/2 hours CPD)


    I cannot come to some of the sessions. Please let me know if they are to be repeated

                                                                   YES        NO

    I would like to come to the ‘Introduction to Sand Tray’ training but I cannot come on
    any of these dates. Please let me know if the training is to be repeated

                                                                   YES        NO


    Signed                                                         Date


Please return form to Wellspring Therapy, 2 Prospect Road, Starbeck, Harrogate, HG2 7PB.

				
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