NurtureWorks Workshop Registration Form

Please fill in and submit this form to reserve your place at my NurtureWorks event, workshop or retreat. You can pay directly by debit or credit card or select to pay by bank transfer, cheque or cash. Your place will be confirmed when payment is received.

Thanks for sharing your personal data. NurtureWorks is committed to safeguarding your privacy and will never share your data for marketing purposes. Any health data will be kept strictly confidential. See my Privacy Policy.

NurtureWorks Workshop Registration Form Stripe Version

Prices and Payment

My preferred methods of payment are by credit/debit card through this form or by bank transfer. If these are a problem for you, you can pay by cheque or cash at class. For bank transfer (as well as cheque or cash), please select Other in Payment Options - your confirmation email will include bank details for completing payment.

Credit/Debit card payment

Credit Card number
Expiry date
CVC code