Pulsing Rhythmic Bodywork

Name

Address

Email (please check before submitting!)

Mobile (with country code if outside UK)

Do you have any therapy, counselling or bodywork training? (give brief details)

Main reason for applying
-- Select -- Personal development Professional training Both

Course date
2024

I confirm that none of the physical or psychological contraindications apply to me.
-- Select -- Yes

I understand and accept the cancellation policy.
-- Select -- Yes

I wish to apply for a place on the above training.
I have read and understood the Terms & Conditions and agree to them.
-- Select -- Yes