Register Online

Please enter all of the information below to register with us.

Please select the date of the programme you wish to attend:

Please do not make any work or travel arrangements prior to receiving confirmation from us.

Full Time
Part Time / Casual
Student
Retired
On Benefits
Other

Family / Friends
Web Search
Leaflet / Brochure
Seminar

The retreat venue is near Basingstoke, Hampshire - Once you have been accepted onto the programme we will send you full directions and discuss your travel arrangements.

This person will be contacted if you need to leave before the end of the programme or in a health emergency.

This information will be kept confidential and treated with respect for your privacy.

You need to be free of your addiction for at least one month before the healing week, in order not to suffer withdrawal symptoms - as these would affect your ability to heal. If you have these symptoms during the week you will be asked to leave the programme.

e.g. asthma, diabetes, high blood pressure, epilepsy, bipolar disorder, schizophrenia, DID, PTSD etc...

Physical
Emotional
Sexual
Spiritual
Neglect
SRA
Poor Parenting
Bullying
Abandonment
Incest
Domestic Violence
Early Childhood Illness
Divorce, Death of a parent/sibling
Other

The following fee covers 5 nights accommodation and all workshops during the programme, we wish to keep our programme as affordable as possible, we trust you will opt to pay the fee that best meets your financial situation.

To secure a place we ask for a minimum £50 deposit (refundable up to four weeks before the programme).

Option 1 - Full upfront payment (£400)

Option 2 - Initial payment (£100 plus plus 3 monthly payments of £100, Total £400)

Option 3 - I am able to pay £ but request sponsorship for the balance of the £400

Sponsored Places - a deposit of £50 will secure your place, however, on each programme we have a limited number of sponsored places which can cover part of the £400 fee, We ask you to contribute as much as you are able to afford. If this would better fit your financial circumstances please contact the office.

If you would like to pay by cheque or money order (payable to Heal For Life Foundation UK) please forward to:

Admin Office, Heal For Life UK, Cumberland Court, Church Street, Wye, TN25 5BJ.

We can take electronic payments by Electronic Credit Transfer, please ask the office for details.

We do not currently have facilities for payment by credit/debit card but will do so shortly, Please ask the office if this facility is in place.

Please remember to put your contact details on the envelope if you are sending a cheque seperately to your registration form.

Please tick all of the boxes below to indicate you have read and understood the conditions.

I agree to keep confidential anything I hear about other people during the programme.

I agree not to bring illicit drugs or any alcohol to the programme.

I understand that if I leave the property during the programme for any reason I cannot return.

I am committed to my healing and will avoid distractions such as TVs, Newspapers, Radio, Magazines, Games, Cards, Novels, Laptops and Tablets.

I understand that I will not be able to keep or use my mobile phone during the week.

I understand that if I self-harm I will be asked to leave.

I understand that if I behave in an unsafe manner to other guests I may be asked to leave.

Your healing programme will be confirmed once we have recieved your registration and payment. Please do not make any travel arrangements until you have had a letter or email confirmation from us.