If you have difficulty with the form, don't hesitate to ask us for help.
A * means that the question is compulsory, you won't be able to send the form without it.
*Your Full Name
*Your Address (please include your country)
*Date of Birth (dd/mm/yyyy)
Please upload a photo of yourself so your tutor will recognise you. Click the browse button to find your photo on your own computer, then simply select the file. It will be uploaded automatically when you send the form. Maximum file size is 1MB and acceptable file types are *.gif, *.png, *,jpg, *.jpeg. Contact us if you have difficulties!
Please don't worry if you can't upload the photo, just send the form off and we can sort out the photo later.
*Your email address
Home Telephone (include country code if applicable)
Mobile Phone (include country code if applicable)
How and where did you hear about the course? You don't need to complete below unless this is where you heard about the course, and brief details are fine.
Leaflets (where?)
Magazine or newspaper ad (details?)
Website (which one?)
Other (please specify)
*Would you like to join our Goddess Temple Mailing List? You will receive updates and information about courses and occasional Goddess Temple and Goddess House news. You can, of course, choose to unsubscribe at any time and if you're already subscribed you won't be added again.
yesno
Payment in full: £1,300 for fourteen sessions.
Payment by instalments: £1,350, which includes a £50 one-off administration fee to cover our bank and Paypal costs.
Please note that to ensure your place on the course the non-refundable deposit of £200 must be paid within four weeks of course application acceptance and by 13 January 2024, or by return if the tutor's acceptance is after this date.
You may pay the balance of fees at any time up to the course start date of 27 January 2024 or by eight instalments of £143.75 beginning 27 January 2024, by standing order or online by Paypal.
Signed Terms & Conditions are an integral part of the course application process and should also be received by us within four weeks of your receiving confirmation of acceptance on the course.
Please make payments to: Glastonbury Goddess Temple.
*Please select from the list below your payment preference:
—Please choose an option—Pay in full in advancePay monthly by standing orderPay by monthly PayPal Subscription
Please fill out the following questions as fully as possible so that your tutor can get a sense of who you are. The Glastonbury Goddess Temple will hold all information given in total confidence. Each of the text areas below will expand to allow 512 characters. If you need more room, please send us a separate email with further details. It will help if we can easily cross-reference an email with your form, so please include in the email your full name, address and the course you're applying for.
Current occupation
Why do you wish to participate in this training?
What previous experience, if any, have you had in this area?
What are your expectations from this training?
Is there any other relevant experience or training you would like to tell us about?
Because the nature of these trainings is transformative and energetic it is important for the teacher to know of certain mental & physical conditions. Answering these questions enables us to ensure your safe participation within the group and to recognise those times when it may be wiser to observe rather than to participate. It is a requirement for you to answer the following questions. All information is held in total confidence.
Do you suffer from any of the following conditions? (If necessary you can select multiple conditions by holding down the "Control" key and selecting as required).
EpilepsyDiabetesAsthmaHigh or low blood pressureHeart conditionAllergies
*Do you have, or have you had, any medical problems of an acute or chronic nature?
*Have you ever had any mental health problems diagnosed or treated?
*Do you have any physical needs that it would be useful for your tutor to know about? (Please note - we regret that many of our rooms are upstairs).
*Are you taking any drugs, prescribed or otherwise?
YesNo
If you have included any of the conditions above, please give details. The text area below will expand to allow 512 characters (with a counter below to let you know where you're up to):
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We do need you to sign a paper copy of the Terms and Conditions before you can be accepted on any course. Please download and print the Terms and Conditions now, then sign both copies and return one to us, with a note of your name and address.
If you don't have access to a printer, click here to request us to send you a paper copy of the Terms and Conditions.
The form won't send without your acceptance
*I have downloaded the Terms and Conditions for this course, or requested a copy by post, and will sign and return them within four weeks of course application acceptance, or by the course start date if that is sooner. I have read and agree to the Privacy Policy.
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