Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Professional Indemnity Insurance *

Do you have professional indemnity insurance for your business up to the sum of 20million?

Yes

No

If no, are you willing to sign a waiver form?

Yes

No

Which space would you like to book? *

Treatment room (capacity 6)

Treatment/Small workshop room (capacity 8-15 pending tables)

Workshop room large (capacity 22 seated at tables, 40 without tables)

Outdoor space (we will be in touch to discuss requirements)

Would you like information on our food and beverages packages? *

Yes please

No thank you