BodySoul Movement - Booking Form

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Email *

CONFIDENTIALITY

All the information given in this form is fully confidential and will be treated with respect. It will be read only by the workshop facilitators who are abiding to UKCP code of ethics.

DATA PROTECTION

Any electronic communication will be with your consent and you can withdraw your consent at any time. If we experience any data breaches we will inform you as soon as possible.

Any records about you (such as personal details on our booking forms) are kept secure and subject to the general data protection regulations. We will keep those record for the duration of your involvement with IEP - up to 5 years. You are entitled to have your data destroyed at any point.

Required

Your Email: *

Name and Surname: *

Phone number *

Date of birth *

YYYY

Occupation *

Date of the session/workshop you are attending *

YYYY

Have you ever attended any previous sessions? *

Yes

No - but attended other workshops/groups at the Institute of Embodied Psychotherapy

How did you hear about BodySoul? *

Any previous experience of dance/movement practice? if so please name a few? *

Any previous experience of meditation or other spiritual practices? (If so - please name what practice had most impact on you) *

What is your previous experience of therapeutic work (individual/group psychotherapy, process oriented groups or any other personal development workshops): *

What is your previous experience of body oriented psychotherapy or any therapeutic dance and movement practice: * (Please note that no prior experience of any of the above is necessary for this group). *

Any physical disabilities, mobility issues or any health issues (including mental health) that the facilitators should be aware of? *

Have you ever suffered from any serious or recurrent illnesses, or had a major surgery or accident/trauma? *

Please indicate what session/weekend you are booking below.

If paying for the weekend workshop - please make the payment on the same day of filling in this form.

Account details:

The Institute of Embodied Psychotherapy

Account No: 30354597

Sort code: 23-14-70

GREECE & EU PAYMENTS:

The Institute of Embodied Psychotherapy

BIC TRWIBEB1XXX

IBAN BE38 9677 3722 0372

CANCELATION POLICY: up to 6 weeks before the workshop - your payment will be refunded minus 20% administration fee.
No refund will be offered if less then 6 weeks notice.

Concessions: If you are from a low income household and require a concession rate, please get in touch before booking.

FREE taster session - in person

FREE taster session - on zoom

Weekend Workshop Early Bird price £190 (6 weeks before the session)

Weekend Workshop Full price £210 (afterwards)

One day Workshop Greece Early Bird price 65 EUR (6 weeks before the session)

One day Workshop Greece Full price 75 EUR

Other:

RECORDING ZOOM sessions

Please note that all our zoom sessions will be recorded and we might use sections of it on our website and vimeo/youtube channel. Please note that participants won't be in this video - only Tasha and Katarina guiding the session.

We will send you a zoom link a day before the online session. If for any reason you cannot join - please email us so that we can offer your place to someone else. THANK YOU

Would you like to be added to our mailing list for information about similar upcoming workshops and courses, including discounts that we offer (we send our newsletter usually only once a month)
*

Yes

By sending this form I agree with the Institute of Embodied Psychotherapy Terms and Conditions (PLEASE READ THEM BEFORE SIGNING THIS FORM): https://www.embodiedpsychotherapy.org.uk/terms-and-conditions
*

Yes

A copy of your responses will be emailed to the address you provided.

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