Summer Holidays Mindfulness Session for Children: Your Details: Name (required) Telephone (required) Email (required) Please indicate time and date of the session you wish to book: Please tell me your child's name, age and the school year they will go into in September: Please tell me about any significant life events your child is currently experiencing e.g bereavement, family stresses, moving home, change of school etc: Please indicate if your child takes any medication or has any allergies: Payment: Course Cost: £27 Full Payment is required at time of booking to secure your place. Bank transfer (payable to: Co-operative Bank A/c 12306145 S/c 089103). Please ensure you put your name and Mindfulness in the reference box so your payment can be identified. Booking Conditions: The following proportion of your fee, less a £5 admin charge, will be refundable if you cancel your place: Up to 2 months before the start date: 100% Up to 1 month before the start date: 50% Less than 4 weeks before the start date no refund will be made. The facilitator reserves the right to cancel the course under any circumstances. Should this be the case you will receive a full refund. Signed: Date: If you have any queries about this form, or the course, please contact Gayle Creasey on 07941 279177 By using this form you agree with the storage and handling of your data by this website.