Qigong Summer Camp Booking Form

Your name*

Others' names, with age if child

Email Address*

Postal Address*

Postcode*

Telephone*

Deposits (non-refundable)
Adults @ £40 Children @ £20

Total deposit amount

Would you be able to distribute some leaflets?
Yes No

If so, how many?

Are you able to offer a lift? Do you need a lift?

How did you hear of the camp?

Any special needs/requests?

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Action: (Please note you will have to send your deposit
in the form of a cheque - address below.)

As these events are very popular and the numbers are limited please book early to be sure of a place by sending your non-refundable deposit, payable to D. Leggett, to the address below.

Qigong Camp, P.O. Box 3, Totnes TQ9 5WJ Tel: 0845 456 1852 | E-mail:

A map and details of what to bring will be sent on receipt of the deposit(s).