Information for the Healing Sanctuary Please enable JavaScript in your browser to complete this form.WHO is included in your subscription? DEPENDS ON any additional subscribers you previously REGISTERED. *Just myselfMyself plus one additionalMyself plus two additionalsMyself plus three additionalsSelect from drop down menu who is to be included under your subscription.Please confirm that you have more than met the minimum sanctuary donation of £10 per person, otherwise' please return and amend your subscription *YES I have included for added membersName (Main Subscriber) *FirstLastDate of Birth, Main subscriber : dd/mm/yyyy *Email (Main Subscriber) *EmailConfirm EmailAreas of healing focus for The Healing Sanctuary, (Short description, Main subscriber) *Please upload a recent photo of yourself, (Main Subscriber) Click or drag a file to this area to upload. Name (additional mem 1) *FirstLastDate of Birth, addn member 1 : dd/mm/yyyy *Areas of healing focus for The Healing Sanctuary, (Short description, addn mem 1) *Details of what you would like to work on in The Healing Sanctuary, mind, body and soul.Additional member 1, recent photo Click or drag a file to this area to upload. Why is this person under your subscription1? *They are a childThey are a petOtherPlease specify reason1 *Main reason for including this additional member in your subscriptionName (additional mem 2) *FirstLastDate of Birth, addn mem 2 : dd/mm/yyyy *Areas of healing focus for The Healing Sanctuary, (Short description, addn mem 2) *Details of what you would like to work on in The Healing Sanctuary, mind, body and soul.Additional member 2, recent photo Click or drag a file to this area to upload. Why is this person under your subscription2? *They are a childThey are a petOtherPlease specify reason2 *Main reason for including this additional member in your subscriptionName (additional member 3) *FirstLastDate of Birth addn mem 3 : dd/mm/yyyy *Areas of healing focus for The Healing Sanctuary, (Short description, addn mem 3) *Details of what you would like to work on in The Healing Sanctuary, mind, body and soul.Additional member 3, recent photo Click or drag a file to this area to upload. Why is this person under your subscription3? *They are a childThey are a petOtherPlease specify reason3 *Main reason for including this additional member in your subscriptionPhoneSubmit