Registration and Waiver

Please complete this registration form to secure your ticket. After you have submitted this form, I will email you with payment methods. Any questions, please get in touch at sal.bromley@proton.me - Dr Sal Bromley

First Name

Last Name

Phone Number

If you have any pre-existing medical conditions or injuries that may affect your ability to participate in this activity, do you have clearance from the relevent medical professional to participate?

Yes - I have a condition and I have been cleared

No - I have a condition and I have not been cleared

N/A - I have no conditions that require clearance

Please specify anything we should know about you:

Please read the workshop terms and conditions at the link below.

https://www.sallybromley.com/terms-and-conditions

I agree to the Terms and Conditions

Your Signature

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