the website of Kathy Jones

Goddess Pilgrimage to Delphi, Eleusis and Athens – Booking Form

A * means that the question is compulsory, you won't be able to send the form without it.

If you have difficulty with the form, you can find one to download and print here.

Your Details

*Your Name

*Your Address (please include your country)

*Date of Birth (dd/mm/yyyy)

*Your email address

Home Telephone (include country code if applicable)

Mobile Phone (include country code if applicable)

Pilgrimage Fees

Payment Options

A non-refundable deposit of £250 paid by 1st January 2019 secures your place.

The balance of £445 is payable by May 1st 2019.

Payments can be made directly into Kathy’s bank account - Iona will send you details on receipt of your booking form.

If you’re paying from outside the UK you may find Transferwise useful as their fees are lower than those of most banks. You can find them at https://transferwise.com.

Please note that if you're using Paypal, these payments attract an additional fee of £10 for the deposit and £15 for the balance - a total of £25 on the full pilgrimage fee.

*Please select from the list below your payment preference (cheques from UK banks only, please):

More Information

In each of the five boxes below the text area will expand to allow 512 characters (with a counter below to let you know where you're up to)

 

How and where did you hear about the pilgrimage?


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Current occupation


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Why do you wish to come on this Goddess Pilgrimage?


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Have you been on any Goddess Pilgrimages before(either in a group or individually)?


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What are your expectations from this pilgrimage?


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About your health

Because the nature of this pilgrimage can be transformative and energetic it is important for us to know of certain mental & physical conditions. Answering these questions enables us to ensure your safe participation within the group and to recognise those times when it may be wiser to observe rather than to participate. It is a requirement for you to answer the following questions. All information is held in total confidence.

Do you suffer from any of the following conditions? (If necessary you can select multiple conditions by holding down the "Control" key and selecting as required).

*Do you have, or have you had, any medical problems of an acute or chronic nature?

yesno

*Have you ever had any mental health problems diagnosed or treated?

yesno

*Do you have any physical needs that it would be useful for us to know about?

yesno

*Are you taking any drugs, prescribed or otherwise?

YesNo

If you have included any of the conditions above, please give details. The text area below will expand to allow 512 characters (with a counter below to let you know where you're up to):


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