Client/Student Registration Form – backup

Welcome to the SC Wellness & Learning Centre in Poundbury, Dorset. 

Thank you for your workshop/class reservation. To help you get the most out of your first experience with us, we ask you to complete the following questionnaire. Some information is required as is denoted by * but other questions are your choice as to how much or how little you would like to tell us.

All information provided is confidential and will assist us in supporting you and your goals. We may contact you using the details provided for the administration of our courses.

Please note that advice and support is given using an Eastern understanding of Chi energy and the effect it has on an individual’s health and wellbeing. SC Wellness & Learning Centre will provide support but does not accept responsibility for each individual’s progress.

Please contact us on 0330 1331 034 or via email at should you have any further questions.

We look forward to seeing you soon.

e.g. Chi Therapy, Class, Workshop
Our Terms and Conditions can be viewed at

We will contact you in due course via email to confirm your reservation.