Birth Time Retreat Booking Form 2022
By completing this form you are booking a place on the Birth Time Retreat 2022.
If this event is cancelled by Every Birth Matters at any point - you will receive a full refund.
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Email *
Name *
Address *
Phone Number *
Emergency Contact information *
Do you identify as *
Why are you booking onto this course? What is your specific role or area of interest in midwifery. *
Do you have any health issues or a disability?
Do you have any specific dietary requirements? eg: Allergies/intolerance/vegetarian/vegan etc
Accommodation - what would you like to sleep in? *
Which bunk would you prefer? Please note we cannot make a guarantee your preference.   *
Is there any friends/peers you know booking onto this retreat also? *
Do you have a special talent that you would happily share with the group? eg: a song, poem, monologue, drumming, play an instrument                                                  We are going to be creating our own evening entertainment so please state if you are happy to be involved.     *
The cost of the retreat is £200 per person. *
Cancellation of bookings; If for any reason the retreat is cancelled a full refund will be given. *
Refund policy: Refunds will only be issued within 7 days after deposit is paid. No refunds will be given after this date. *
Payments must be made along with this form, bookings will not be accepted if payment is not made.  The next section will advise you how to make payment.                                       *
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