Qigong Summer Camp Booking Form

Please fill out the form below to book your place on the Summer Camp.

Your Name (required)

Others' names, with age if child


Email Address (required)

Postal Address (required)

Postcode (required)

Telephone (required)

Deposits (non-refundable)
Adults @ £40
Children @ £20
Total Deposit
On submission of this form you will be re-directed to a page where you will be able to pay the deposit securely via PayPal.

Would you be able to distribute some leaflets?
Yes No 
If so, how many

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

How did you hear of the camp?

Any special needs/requests

Please input the characters you see below:
captcha

On submission of this form you will be re-directed to a page where you will be able to pay the deposit securely via PayPal.
Please note that the deposit is non-refundable.
If you would prefer to send a deposit by cheque please make it payable to Qigong Camp, and send it to the address below. As these events are very popular and the numbers are limited please send your cheque as soon as possible to be sure of a place.
Qigong Camp, 46 Glebelands, Buckfastleigh TQ11 0BJ
Tel: 0845 330 5086
A map and details of what to bring will be sent on receipt of the deposit(s).