GREEN MAN PITCH THERAPIST REGISTRATION FORM

Registering with us is simple and easy, just fill in the form below and click register. Once we receive this, we will email you a confirmation and payment details. Please keep in mind to submit your pitch payment within 24 hours of receiving your confirmation email from us to secure your pitch.

PRICES: £550 per 5m bell tent or up to 5x5m pitch (any extensions or frontage should be within this size) or £700 for anything larger.

EARLY BIRD: ALL REGISTRATIONS WITH FULL PAYMENT SUBMITTED BEFORE 9th FEBRUARY WILL RECEIVE A DISCOUNT OF 10% ON TOTAL FEES

Name

We will send you a copy of the completed booking form to this e-mail address.

Phone

Address

Please specify your pitch size
NB Prices are per therapist

5x5m - Fees £550

Above 5x5m - Fees £700

Please write the name / brand of your pitch

Yes

Website

Additional Pitch Therapist 1

Additional Pitch Therapist 2

Please write a short description about yourself and the type of treatment you will be offering at the festivals.

Please write down treatments for your additional therapist as well.

Please upload your qualification certificate, insurance certificate and photo. Please note that if your insurance expires before the event, you will be required to send your renewal certificate.

Delete all uploads

Choose files or drag here

Please upload all certificates for any additional therapists in your team.

If you are driving to the event please input your registration below and mention if it is a car or live-in

Terms and Conditions

I agree to the terms and conditions.

FAQ's

I have read the FAQ's.

Signature

TOTAL AMOUNT (10% discount valid until 9th February 2024)

This amount is just for your reference and will be confirmed by us with an invoice.

Verification