The Dying Time LIVE Booking Form Sun 8 November 202610am – 1.30pm The Dying Time LIVE Booking Form Name * First Last * Last Email * Phone number * A little about you. What brings you to this retreat..? * The events requires a little walking in moderately hilly terrain and being outdoors for more than 3 hours. Do you have any access needs that might make your participation difficult or that you would like Emma to be aware of to get the most from this event? * How did you hear about this event? * Please confirm you understand the nature of the event * I am aware this is an outdoor event of 3.5 hours+ duration. I take responsibility for being prepared & kitted out appropriately. I understand Emma has experience and insurance for conducting such events. I take responsibility for my part in taking care of my own safety. I am aware this event costs Pay As You Feel £25-£40 and that I will hear from Emma about payment on receipt of booking. Emergency contact – name * Emergency contact – name First First Last Last Emergency contact – number * Any other questions Submit If you are human, leave this field blank. Δ