Name
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First Name
Last Name
Email
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Phone
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(###)
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency contact name and relationship to you
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Emergency contact phone number
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Do you have any allergies or medical conditions which I should be aware of in order to keep you safe in the event of an emergency?
Your hopes for the day
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Use this space to tell me about your hopes for the day. This will help me tailor our time to suit you. You could tell me what attracted you most to this event, what you are looking forward to - or anything else about your expectations that will help me to make sure you get the most from our time together
Dietary requirements
Sound bath
We will be joined by Louise, from Healing Vibes (see link to Louise's website below) for a relaxing sound bath. Louise has over fifteen years' experience and also teaches at the Harry Edwards healing college. A group sound bath is a generally safe and very relaxing activity. If any of the following apply to you, then please check this box and I will be in touch to explore how we can ensure the session is safe for you: Neurological condition, shunt, brain implant, heart condition, metallic or other implant in the body, recent surgery or injury, tumour, undergoing cancer treatment, inflammatory skin disorder, screw, artificial joints, inflamed joints or veins, sebaceous cysts, history of psychosis or severe depression, sound induced epilepsy, first trimester of pregnancy.
The conditions listed do not apply
Please call me to discuss how I can safely take part
Agreement
Our time together includes a session in the wood fired Sauna. In the links listed below there is information about the health benefits of sauna as well as some of the risks to be aware of. If you are in any doubt about safe use of the sauna or have any health conditions which may be affected, please speak to your doctor in advance.
The House Outside seeks to create opportunities for us to experience the natural world as a means to stimulate our creativity as well as impact positively on our wellbeing - there is significant evidence on the impact of the natural world on our wellbeing (see links below). If we are lucky, we might encounter some of the creatures that live on the shoreline. Sussex Wildlife Trust has a wonderful website detailing the marine species in Sussex (see link below). The RNLI also details information about some of the marine encounters we would hope to avoid (these encounters are very unlikely - see link below).
If you have questions or any worries at all, I would be very happy to have a chat on the phone before we meet on the 12th.
I understand the information above
I understand the information above - and am requesting a phone call