It is important that this is filled in by the guest attending.
(THIS INFORMATION IS CONFIDENTIAL UNLESS DUTY OF CARE REQUIRES DISCLOSURE)
2019 programme dates: 19th May - 24th May: 21st - 26th July: 8th -13th Sept
Please enter all of the information below to register with us.
Please do not make any work or travel arrangements prior to receiving confirmation from us.
The retreat venue is near Basingstoke, Hampshire - Once you have been accepted onto the programme we will send you full directions and discuss your travel arrangements.
This person will be contacted if you need to leave before the end of the programme or in a health emergency.
This information will be kept confidential and treated with respect for your privacy.
You need to be free of your addiction for at least one month before the healing week, in order not to suffer withdrawal symptoms - as these would affect your ability to heal. If you have these symptoms during the week you will be asked to leave the programme.
e.g. asthma, diabetes, high blood pressure, epilepsy, bipolar disorder, schizophrenia, DID, PTSD etc...
The following fee covers 5 nights accommodation and all workshops during the programme, we wish to keep our programme as affordable as possible, we trust you will opt to pay the fee that best meets your financial situation.
To secure a place we ask for a minimum £50 deposit (refundable up to four weeks before the programme).
Option 1 - Full upfront payment (£500)
Option 2 - Initial payment (£100 plus plus 4 monthly payments of £100, Total £500)
On each week we have a limited number of sponsored places available but we do require you to pay the deposit of £100 yourself, up to £400 can be made available from our Bursary Fund. However, as we have a limited number of sponsored places, we ask you to contribute as much as you are able to afford. If this would better fit your financial circumstances please contact the Office.
If you would like to pay by cheque or money order (payable to Heal For Life Foundation UK) please forward to:
Admin Office, Heal For Life UK, Cumberland Court, Church Street, Wye, TN25 5BJ.
We can take electronic payments by Electronic Credit Transfer, please ask the office for details.
We do not currently have facilities for payment by credit/debit card but will do so shortly, Please ask the office if this facility is in place.
Please remember to put your contact details on the envelope if you are sending a cheque seperately to your registration form.
Please tick all of the boxes below to indicate you have read and understood the conditions.
By clicking on the submit button below you are agreeing to comply with the key safety principles above; You are also agreeing to have read and understood all of the information in relation to the healing programme.
Your healing programme will be confirmed once we have recieved your registration and payment. Please do not make any travel arrangements until you have had a letter or email confirmation from us.