It is important that this is filled in by the guest attending.
(THIS INFORMATION IS CONFIDENTIAL UNLESS DUTY OF CARE REQUIRES DISCLOSURE)
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 Bradwell-on-Sea, Essex - 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.
e.g. asthma, diabetes, high blood pressure, epilepsy, bipolar disorder, schizophrenia, DID, PTSD etc...
The following fee covers 5 nights’ accommodation, food and all workshops during the programme.
Programme Fee is £800
To secure a place we ask for a minimum £200 deposit (refundable up to six weeks before the start of the programme) and a completed Registration Form
If, having paid the £200 deposit, you are unable to pay the remaining £600 in one go, we can arrange for you to pay by instalments. To discuss this please email admin@healforlife.org.uk.
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.
Please remember to put your contact details in the envelope if you are sending a cheque separately to your registration form
We do not currently have facilities for payment by Credit/Debit card. However, we can receive payments by Electronic Credit Transfer (BACS), please ask the Office for details.
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 received your registration and payment. Please do not make any travel arrangements until you have had a letter or email confirmation from us.