Your name

Please select one of the following:

Individually fundedSmall businessCorporate

The price includes full board in an individual ensuite room for Module One.

Please select your preferred payment option and an invoice for the deposit will be issued to you via e-mail.
Electronic bank transfer
*For PayPal, 4% is added to the fee (UK payments). Other charges may apply for overseas payments.

Company name for invoice

Full postal address for invoice

Your email

Confirm your email


If this training proved to be all you could hope for how would you know?

Please reflect on what you bring and how you disrupt learning groups in general?

Please describe any specific contexts or subject areas you are particularly interested in learning more about.

Do you have any special skills or gifts that you would be willing to offer other group members during the free time on the residential module?

Please describe, in no more than 250 words, your motivation for participating in this practitioner training and peer group.

Do you have any special physical or dietary requirements?

By submitting this form you consent to Coaching Constellations Ltd holding your data in accordance with our Data Privacy policy