Booking form Please enable JavaScript in your browser to complete this form.Name *FirstLastIf a certificate is to be issued please state the name as you would wish this to appear on your certificate.Email *Telephone *Correspondence Address *Course *Crystal Healing part 1Crystal Healing part 2Pendulum WorkshopCrystal WorkshopEnergy WorkshopPlease select the name of the course you wish to book. Course Date *Emergency contact details *Please supply name and phone number for someone I could contact in an emergency. Any other information that you feel will be useful to share prior to the courseDo you have any mobility issues? If so please provide full detailsTerms & Conditions *I confirm that I have read and agree to the Terms & Conditions Submit