Free Foundation Weekend

Saturday 14th & Sunday 15th March 2020*

JURY'S INN, BREWERY WHARF,BREWERY PLACE LEEDS LS10 1NE
Full Name*

First NameLast Name
Address*

Street Address

Street Address 2

TownCity

Post CodeCountry
E-mail*
Home Telephone Number*
Mobile Telephone Number*
Age*
How did you hear about us?*
current occupation*
Have you trained in hypnosis before?*

YesNo
Do you have any mental health issues that you are currently aware of*

YesNo
Please tell us why you would like to be considered for a free place*
Are you available to attend this free training weekend on 14th & 15th March 2020?*

YESNO
Should be Empty:

Saturday 14th & Sunday 15th March 2020*