Priestess of Avalon Spiral Three Application Form

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 Details

*Your Full Name

*Your Address (please include your country)

*Date of Birth (dd/mm/yyyy)

*Your email address

Home Telephone (include country code if applicable)

Mobile Phone (include country code if applicable)

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*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, of course, you won't be added twice if you're already subscribed.

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Information about Fees

This section is for information only - you can pay your fees from the individual course application page

The fees of £480 can be paid in full in advance by cheque or bank deposit by 12th October 2019.

Alternatively, fees can by paid by instalments with a non-refundable deposit of £100 by 1st October 2019 and the balance paid in 5 monthly instalments, which are payable by standing order or Paypal subscription starting on 11th November 2019.

Including the admin fee, the payments will be £81.00.

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Payment Options

*Please select from the list below your payment preference:

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About your health

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).

*Do you have, or have you had, any medical problems of an acute or chronic nature?

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*Have you ever had any mental health problems diagnosed or treated?

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*Do you have any physical needs that it would be useful for your tutor to know about?

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*Are you taking any drugs, prescribed or otherwise?

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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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Terms & Conditions

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.

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Acceptance of Terms & Conditions

The form won't send without your acceptance

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