Equine Reiki Retreat Registration

Equine Reiki Retreat

First Name

Last Name

Email Address

Phone

Address

Post Code

Emergency Contact and Phone

Please list any known allergies (and medical response plan if required

Please list any Dietary Requirements

Please provide a brief description of your experience with horses

Which location and date

Payment Payment PayPal Direct Deposit

Payment Option Payment Option Full payment Deposit $200 Final balance

Mailing List Mailing List Please add me to your mailing list for updates and news.

Declaration & Cancellation Declaration & Cancellation I have read and agree (see right column)

Comments, questions or message to facilitator

Signed

Date

4 + 14 =

Payment Terms

Declaration and Cancellation:

I hereby declare that I am registering for the above-named Retreat. I have read the Retreat overview and agree to pay all fees by the due date. I understand the balance is due 14 days prior to Retreat commencement. A deposit of $200 (transferable, non-refundable) secures my place. Cancellations made up to 14 days prior to the start of the Retreat will be refunded minus the non-refundable but transferable deposit of $200. Cancellations made later than that will NOT be refunded. If Equine Reiki cancels the Retreat I can either attend another Equine Retreat or receive a full refund.

Payment Conditions

Full Payment made 14 days prior to retreat commencement
Deposit to secure your place. The full payment to be completed 14 days prior to retreat commencement.
Paying with Direct Deposit – An invoice with direct deposit payment details will be sent to you once your registration form has been received if you have elected direct deposit.

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Payment

Choose the training, enter the amount and your Paypal email address.

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