For completion by all class/workshop/retreat/bespoke session participants for either face to face or remote teaching. All information given will be treated in the strictest confidence and stored in accordance with General Data Protection Regulations. Revised 08-09-2023.
It is entirely up to you what, or how much, information you disclose. You can leave all or any sections blank, but please read the disclaimer below because you must be responsible for your own health if you do not disclose.
If you would prefer to complete a paper copy of this form, please let me know.