Please provide contact details for who we should contact in case of an emergency when attending a programme with us.
To help us to ensure that this course meets your needs at the present time, please take a little time to answer the following questions:
Please select whether you would prefer to pay the full amount, or a deposit with the remaining balance at a later date.
For deposit payments, the remaining balance is payable 2 weeks before the start of the course.
Please select which rate you will be paying. On each course, we offer a limited number of concessionary rates for people with significant financial hardship.
If your organisation is funding your place, please provide the details below for where to send the invoice.
Tick this box to receive our email newsletters relating to Breathworks and Mindfulness that we think you may be interested in.
Tick this box to receive on going support communications to help support your practice and on going training including mindfulness events, research, offers and discounts.
• This contact will always come from Breathworks CIC• You will receive approx 1-2 emails per week.• We will never sell or pass your details to other organisations without your consent.
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Thank you for taking the time to complete this form. Please take some time to familiarise yourself with the cancellation policy and when you're ready click the SUBMIT button to be directed to the secure payment page to make payment and confirm your booking.
Breathworks Cancellation Policy
You may consider purchasing insurance for your course booking, the organisation below offers reasonable priced course insurance and have no restrictions on age or pre-existing health conditions: