Application Form

Ancient Lomi Lomi Training Retreat • Ireland

May 26-June 1, 2018

Please submit a deposit and fill out the application below


Take me back to 'Details of this Retreat'

IRELAND Retreat, May 26 - June 1, 2018, Boghill Centre

Name *
Address *
Phone *
Deposit / Payment Completed *
Are you on any prescription or other medication? *
Do you have a history of mental illness?
Where did you hear about us? *
Please list all that apply
Terms & Conditions of My Registration *