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Flourishment Seminars Registration Form
BodyTalk Access with Eloise Ansell
Bristol – 13th June 2015
Please complete all the information clearly. Please ensure the name you give is as you would like it on your
certificate.
Name:
Address:
Telephone Numbers:
Daytime:
Evening:
Mobile:
Email:
Occupation, background, or other relevant information:
How did you hear about the course?
Please be aware that you must register for the course online – and have registered with www.bodytalksystem.com.
If you have not done this, or are unable to, please mark the box here, so we can help to ensure this happens.
Cancellation policy:
Cancellations made by EarlyBird date will receive full refund. Cancellations between the EarlyBird date and the day
before class will receive full refund minus a £25 admin fee. Refunds will not be given after the day before class.
Payment – Early Bird deadline is 22nd May 2015
Please indicate method of payment, and amount paid. All cheques must be made payable to ‘Eloise Ansell’ To qualify
for the Early Bird you must have registered online, and returned this form with payment. All payment & registration
information to be sent care of the coordinator: Helena Kangai, 31 Waverley Road, Redland, Bristol, BS6 6ES
Bank Transfer:
Early Bird Payment (£80):
Cheque:
Paypal (additional £3 fee):
Monitor (£40/50):
Cash:
Postal Cheque:
Full amount (£100):
I have read and understood the attached terms & conditions, and have read the cancellation policy above:
Signed:
Date:
Terms & Conditions for Enrolment on Course & Participation:
By signing the agreement (page 1) you have read & understood the terms & conditions.
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To pre-register for the Access seminar, please go online and visit
www.bodytalksystem.com to register.
Note: This online registration is needed in order for Eloise to graduate you online. You will
then be registered with, and therefore immediately recognized by, the International
BodyTalk Association (IBA) as having attended the respective seminar.
In case the seminar is fully booked, you will be informed within 2 working days. If you wish,
you can then ask to be placed on the waiting list.
If Eloise Ansell has to change the dates, move the venue/place of the seminar, her only
obligation to you will be to immediately refund the full amount paid. Alternate dates will be
offered.
On occasion, unforeseen circumstances may require us to cancel a course. In such
circumstances you will be given as much notice as possible and either a free transfer to
another course date or a full refund of fees paid.
If you withdraw your registration after the Early Bird date a fee of £25 will be kept from your
payment for administrative fees. After the seminar, there will be no refund of any kind,
neither full nor partial, though you may transfer your payment to another participant. The
change of name must be emailed to the coordinator, and the new attendee registered
online. In the case of an emergency withdrawal, each case will be handled on an individual
basis.
If you choose not to continue to attend or complete the seminar on the day, there will be no
refund, neither full nor partial and Eloise will be unable to graduate you online.
Your participation in the seminar does not entitle you to act as a health care practitioner.
You will have in hand a certificate of attendance. Furthermore, upon graduation of the
Access program, you will be entitled to apply for membership within the International
BodyTalk Association (IBA). Once the IBA processes your registration and membership
fees, you will receive an IBA membership certificate.
During the seminar, Eloise Ansell will not be providing any health care treatments. Your
participation in the BodyTalk seminars does not replace required treatments by medical
doctors. Current courses of treatments should not be stopped or interrupted, nor should any
future course of treatment be postponed or omitted without medical advice. This is and
remains your responsibility alone.
If you are currently receiving medical or other related treatments, please communicate
these details to the coordinator or Eloise Ansell prior to commencing the seminar.
The trainer, Coordinator and/or any Assistants are fully exempt from any liability or
compensation due to actions during the seminar.
We cannot be liable for any expectation of the participant in relationship to the seminar.
All seminar participants are bound to observe confidentiality.
Verbal side arrangements need a confirmation in writing by the seminar trainer.
All fees are payable before commencement of the course start date, unless agreed
otherwise.
We look forward to seeing you soon!
Any questions please contact me:
Helena Kangai
helena@bodytalkbristol.co.uk
Phone: +44 7817 651006