Ring 1 £600

This is the booking form for our Ring 1 programme for those selecting to pay £600.  Thankyou for your generosity and for making it possible for someone less financially able to attend this event.

Event Registration for AoM 2012 (ring 1) £600 -

AoM 2012 (ring 1) £600 - Cost GBP 600.00

First Name:

Last Name:

E-Mail:

Phone:

Street:

City:

State or province:

Postal/Zip Code:

What is your dietary preference?

* Do you have any dietary needs or allergies that we need to take into consideration? If you need more space please send us an email: artofmentoringuk@gmail.com

Does your child have any medical issues that you would like us to be aware of? If you need more space please email us: artofmentoringuk@gmail.com to give full details.

Please select any of the following illnesses or conditions you may have had









Or any physical limitations we should be aware of? If you need more space please email us: artofmentoringuk@gmail.com

Do you consent to receiving any necessary emergency medical treatment for any injury or illness during the Art of Mentoring Week 2012

How did you hear about us?

Are you OK with us using photos that you appear in taken during the week on our website or other publicity? These can be really helpful in helping convey what the week entails to others and may be used to aid us obtaining funding.

Your non-refundable deposit:

Captured in just a few words, what motivates you to be a part of this week?

Enter the security code as it is shown (required):

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