Booking Form | ‘On Behalf of Our Mothers’ | Diane Viola
Diane Viola Logo

Booking Form | ‘On Behalf of Our Mothers’

    Thank you for taking the time to complete this as honestly and fully as you can. Your details will be held in confidence and will not be shared with any third parties.

    Family/FriendOnline SearchDiane, her Website or NewsletterFacebook/Social MediaIntroduction or WebinarNatural Therapy PagesOther


    Cancellation Policy

    1. A non-refundable Administration Fee of $75 per person applies to all bookings cancelled after the Early Bird cut-off date.
    2. In the unlikely event that the Workshop is cancelled, you will be refunded in full.
    3. In either instance you are welcome to transfer the remainder of your fee to the next available Workshop.

    Agreements | Please Read Carefully

    Ticking the boxes indicates your acceptance of these Agreements.

    I acknowledge that I am at least 18 years old.
    I have read and accept the Cancellation Policy.
    I agree to respect the confidentiality of all participants in the Workshop.
    I understand that everyone in the group is an integral part of the Workshop and agree to be on time and attend for the full duration of the Workshop, including lunchtime.
    I understand that, while every effort will be made to ensure the comfort and safety of all participants, I may experience strong emotions participating in this Workshop and am willing to be responsible for my well-being and to ask for help and support during and/or after the Workshop if necessary.
    I understand that as a part of my Workshop commitment I may receive course information and support via email and I will open and read them!
    Thank You!


    Please indicate if you prefer to pay via Direct Credit to my account or - ONLY if using a credit card - via PayPal, and I will forward you an invoice for payment. Please note payment is due on receipt of the invoice for your registration to be complete.