imagework with dina glouberman

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Mind, Heart and Soul booking form

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Also by Dina Glouberman, The Joy of Burnout
www.joyofburnout.com


Skyros Home page
www.skyros.com

Mind, Heart and Soul
Guiding our lives from our highest and our best

Dates: March 5th -8th, 2004; Sept 10th-13th 2004; April 29th - May 2nd 2005.
Friday: 11-7
Saturday - Sunday: 10:30-6:30
Monday: 10-4

Venue: Lancaster Suite -- Columbia Hotel 96-99 Lancaster Gate London W2 3NS

Price: £280 (half price for certified practitioners)

Some bursaries are available.

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Booking form

Please print out and send to:

Hermione Elliott, East Hoe Manor Cottage, Hambledon, Hants, PO7 4SZ.


I should like to apply for the Mind Heart and Soul course:

Part I.............Completed

Part II.............Completed

Part III............Places still available


Name:………………………………………………………......................................................

Address:……………………………………………………......................................................

………………………………………………………………......................................................

……………………………………………………....................................................…………..

Telephone:………………………………………………date...................................................

E-mail:…………………………………………………....................................................…….

I have not done Imagework before/I have done part/all of the Fundamentals course*
I have done the Practitioner training*
I have done the teacher training and would like to assist in the running of this course*
I enclose a deposit of £50 (payable to Dina Glouberman - not for those who have done the teacher training)*
I have previously booked and would like my booking/deposit transferred to the March dates.*

*Delete which doesn't apply.

I am interested in continuing further with an Imagework training.

 


Signed:……………………………………. Date:…………………………………………


Any other comments:


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Please contact us for details of course dates, booking or further information

email us

Imagework Association
contact tel: 0870 7875183

Skyros Office
92 Prince of Wales Road, London NW5 3NE, Great Britain
Fax: 020 7284 3063 Tel: 020 7267 4424

Page updated February 2005