Well-being Workshops

Sign-Up Form & Payment

Sign-Up Form

I appreciate your interest in joining the Well-being Workshops starting Thursday, 6th March, in Cong Community Centre, Co. Mayo. To confirm your space, I would appreciate it if you could complete the sign-up form and payment.

Thank you, Eilís

Payment

Investment: Six workshop: €75.00, Three workshops: €45.00, One workshop: €18.00

To secure your place the following payment options are available:

Bank Transfer: IBAN: IE82AIBK93101257495014

Paypal link: https://www.paypal.com/paypalme/eiliswallwellness or eiliswallwellness@gmail.com

Revolut: 085 7254446 or revolut.me/eilisvzz

Cash: I would appreciate it if you could place it in an envelope with your name.

Where appropriate, please include your name on the payment, and if you have any queries, please get in touch.

M: 085 7254446, E: eiliswallwellness@gmail.com

Thanks very much,

Eilís

Name

First Name

Last Name

Phone

(###)

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Number of Workshops

Please indicate the number of workshops you would like to sign-up for

I would like to sign up to Eilís Wall Wellness newsletter for future offers, promotions and wellbeing tips

What is your main reason for attending?

Preferred Payment Method

Liability Waiver Agreement - Eilis Wall Wellness

I understand this course includes skill training in mindfulness, CBT, chair yoga and meditation methods. I understand that if for any reason I am unable to or think it unwise to engage in these techniques and exercises either during the weekly sessions or at home, I am under no obligation to engage in these techniques, nor will I hold the above-named facility liable. If you are attending psychotherapy/counselling or taking prescription medication for your well-being, it is advisable to consult with your therapist/doctor before attending this course. These Well-being Workshops are not a substitute for medical attention, examination, diagnosis or treatment. I affirm that I alone am responsible for deciding whether to attend these workshops. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Eilís Wall Wellness.