Awaken you Wild Registration

First name

Last name

Birthday

Day

Month

Year

Address

Phone

Next of Kin, Name and Contact Details

Do you have any disabilities, physical injuries, or conditions we should be aware of to ensure a safe and supportive experience?

Do you have any allergies? If yes, please tell us about the allergies so we can take these into account when planning sessions

Are there any areas of your mental health or wellbeing that you're concerned about or feel you may be struggling with? If so, please share any details you're comfortable with to help us provide the best support.

How far is our group from your home?

Walking Distance

Short Drive/bus route

Out of the area

I consent for photographs to be taken of myself or my child/ren at the group and for them to be used to promote the group through various different medias.

Yes (face is fine)

Yes (only hands/back of face)

Not at all

By signing this registration form, you confirm that you consent to The Wild Hub holding and processing your personal data for the following purposes:

To keep you informed about news, events, and activities at The Wild Hub.
In case of emergency.
To be aware of any allergies or specific needs you or your child may have.

Additionally, by signing, you are also consenting to the following:

You will not bring any high-risk allergens to the group out of respect for other attendees.
If anyone in your household has experienced diarrhea or vomiting or any other contagious illness in the last 48 hours, you agree not to attend the group.
You have read and agree to abide by our group code of conduct and any relevant policies.

Sound healing and drum circles are powerful, therapeutic experiences that promote relaxation, grounding, and connection. However, certain conditions may require medical approval before participation. If you have epilepsy, a deep brain stimulation device, a serious heart condition, or are undergoing treatment for a serious mental health disorder, please consult your doctor before attending. Pregnant individuals should avoid sound baths in the first trimester and maintain a safe distance afterward. Drum circles may not be suitable for those experiencing PTSD or severe agitation. By signing below, you confirm that you have read and understood the contraindications, have obtained medical approval if needed, and take full responsibility for your own health and well-being during these sessions.

I take full responsibility for the health of myself during these classes. I will inform my group leader of any medical changes and ensure I have permission from my Doctor to attend.

Signature

Date

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