Workshop Registration Question Title * 1. Full Name OK Question Title * 2. Email OK Question Title * 3. What workshop are you registering for Group Constellations Be Love(d) Retreat Day Single + Confident: a Retreat Day for Femmes with Big Hearts OK Question Title * 4. What is the date of the workshop? Date / Time Date OK Question Title * 5. Have you taken a workshop with Blossoming Heart Before? Yes No OK Question Title * 6. Why do you want to take this workshop? OK Question Title * 7. Do you have any health issues we should know about? OK Question Title * 8. Do you have any food allergies/sensitivities? if so, please explain. OK Question Title * 9. Please provide an emergency contact name, phone # & email for our records OK Question Title * 10. By registering for this workshop, you are agreeing to take full responsibility for your safety and well-being and absolve Blossoming Heart and the facility owner of legal responsibility should you be harmed during the workshop. Your registration form will be reviewed and you will be contacted with further details. Should you need to withdraw from the workshop, you will get a full refund so long as it is more than 14 days before the workshop. Otherwise you will not receive a refund (unless it's for emergency purposes and you can offer proper documentation for this). Do you agree to these terms and conditions? Yes No OK DONE