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Enrollment Class Form
Please fill in the form below
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Knowledge Tree Classes
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Full Name:
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First Name
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Last Name
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Preferred Name for Certificate:
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Email Id:
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Please enter valid email address
Mobile No:
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Invalid phone number.
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Select your Class or Event: (PR) = Pre Requisite :
Basic-16th-18th sept //$692 incl.GST
Advanced-28th-30th oct //$692 incl.GST
Dig Deeper -25th -26th June /$495 incl.GST
EARLYBIRD :Intutive Anatomy -15th aug -2nd sept // $2.5550 incl.GST(PR)
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Confidential Personal Information
ThetaHealing™ is a supplement to medical care, not a substitute for it. Please indicate any conditions that your tutor should be aware of, or that may interfere with your ability to participate in this class
Please list special requirements if any:
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Next
Please provide the name and (preferably mobile) number of a person to contact in case of an emergency:
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I give permission for my contact details (email and/or phone no) to be shared with my classmates at the end of class:
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No
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I have completed pre-requisite classes (if any), with a Certified ThetaHealing™ Teacher:
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No
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Which method of payment will you be using:
Credit Card
Online Transfer
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Please send me a receipt:
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Please choose which applies to you:
I am paying in full by Credit Card - I will call Nancy Cate with my details
Online Transfer - I am depositing the full amount
Online Transfer - Deposit & the remainder no later than 2 weeks prior to class
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Do you agree to the Terms & Conditions
Yes, I have read and I agree.
Yes, I have read and I agree.
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Notes:
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