Booking Form for Living NVC Events Which event are you booking? * Level 1 NVC Training, May-June 2023 Name * First Name Last Name Address * Please put your full address including postcode here Email * Phone numbers * Please let me have your mobile number and home number if you have both How much NVC learning have you done? Please tick any/all that apply I am a complete beginner (not done any courses, trainings or workshops) I have read Marshall Rosenberg's main book I have learnt the basics of NVC eg by doing 2 day Foundation Training I have done some NVC - would still class myself as new to NVC I have done some NVC and would class myself as quite experienced I have mostly learned NVC through online means I have been to many NVC events/trainings I offer and share NVC as part of my work I am an independant NVC Trainer/Facilitator (not via CNVC) I am a CNVC Certification Candidate I am a CNVC Certified Trainer Other (please say more in the Anything Else box at end of form) Accommodation * Accommodation is not provided as part of the retreat or one day event. Please indicate whether you will find your own or may need help. Accommodation not needed (eg booking 1 day event and live locally) I will find my own accommodation I would like some help finding somewhere to stay nearby Food (17-21 Jan Retreat Only) Lunches, dinners and snacks (from Tuesday to Friday), and lunch (on Saturday ) will be provided. All food will be vegetarian. Please indicate below whether you have special dietary needs No special needs - I'll eat what is provided I would like to eat vegan-only foods No wheat please -I am intolerant/have a wheat allergy Gluten-free foods only please I have allergies and will let you know about them Other (please say more in Anything Else box at end) Not Applicable Food (30th Oct Event Only) I would like to book lunch @ £5 I would like to book the lunch and need to talk to you about my dietary needs I will bring my own packed lunch Age Optional (this just helps us have a feel for the age range we have coming). 18-30 31-40 41-50 51-60 61-70 71-80 81+ Payment (17-21 Jan Retreat Only) - pass to next question if booking 30 Oct I offer a sliding scale for the retreat of £650-£350 to enable people with different financial means to be able to come. If you are able to afford the upper amount then I request that you pay that as it enables me to offer places at the lower end of the scale to those that can't. Of course, feel free to choose the price that feels right to you when you balance my and your needs. Please indicate the amount you intend to pay below £ Paying (30 Oct Event Only) The price I am asking for the one day event is within a sliding scale of £45-£25. If I had put the amount as £45 and you would have booked at that price, please pay that. If that price would be a barrier to you attending, please choose an amount that feels possible for you. No questions or proof needed. £ Payment Method How will you be paying? (I will ask for payment once your place has been confirmed) By Bank Transfer By PayPal Other (please say how in the Anything Else box) Cancellation Policy * Cancellations can jeopardise the viability of running events, we therefore ask you to commit to paying a £50 non-refundable deposit on booking and to pay the full balance by at least 21 days before the start date. If, due to unforeseen circumstances, you need to cancel within 21 days of the start of the retreat, we will do our best to fill your place and refund any monies paid minus the deposit of £50. If we are unable to fill your place we ask now that you commit to paying the full amount so that we can continue running the event without you. If for some unforeseen reason we need to cancel the retreat we will give you a full refund of monies paid to us. I understand and agree to these conditions of booking I am not able to agree to this and would like to discuss it with you Anything else? Is there anything else you need to tell or ask me? This could include other special needs The following questions help me offer my services These questions are optional How did you find out about me/the event you are booking This helps me understand the best ways to reach people word of mouth Via the nvc-uk.com website Search engine (eg Google) search Found your website Through your newsletter Through having a prior relationship with you Other Would you like to receive occasional newsletters from me about my services you can unsubscribe at any time via the footer of any newsletter email received Yes please No thanks I'm already on your mailing list Thank you for your booking. I will be in contact with you as soon as possible to confirm receipt and that there is an available place for you