Priestess Vivien Application Form 2021/22

    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)

    *Please state in which year you completed Spiral Three of the Priestess of Avalon Training

    Course updates

    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, 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

    Payment in full: £720 for 6 weekend circles.

    A few bursaries are available.

    Payment by instalments £754, which includes a £34 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 £100 must be paid within four weeks of acceptance by the tutor. If you have applied within four weeks of the course start date your deposit must be received by 14 August 2021 at the latest, or by return if the tutor’s acceptance is after this date. The balance is due by 28th August 2021.

    You may pay the balance of fees at any time up to the course start date, or by 6 instalments of £109 beginning 30 August 2021.

    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.

     

    Payment Options

    *Please select from the list below your payment preference:

    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?

    yesno

    *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 aTerms 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.

    Terms and Conditions can be returned to us by post, or may be scanned and returned by email but please note that we do need a legible copy that includes each page - we don't normally accept photos taken by a mobile phone.

    Terms and Conditions must be signed and returned to us within four weeks of acceptance, as well as y our non-refundable £100 deposit.

    Acceptance of Terms & Conditions

    The form won't send without your acceptance

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