Holistic Therapy Booking Form

Please complete all boxes with stars and and type the Verification numbers in the last box (Please do not complete on-line by iphone/ipad as it does not come though)

Press the submit button at the very bottom of the form, once you have completed. Once submitted your booking form, if you do not receive a return email from us within 24 hours. Please contact us.

Terms & Conditions - http://www.naturaltherapystudio.co.uk/pages/terms-amp-conditions.php

Name*:
Address & Post Code*:
Telephone or Mobile*:
Email*:
Course Required*:
Course Date(s)*:
Course area:
Do you have any therapy certificates, if so state which?*:
I am sending payment by: :
Name(s) as you would like it to appear on your Digital Diploma Certificate:*:
Any Medical conditions state here*:
Who are you currently insured with? (new student N/A):
Verbal and written English are required by the student to complete our courses: PLEASE CONFIRM you have understood this Yes or No?*:
I have read & accept Terms & Conditions: Yes or No?*:
Do you agree that your data will be kept on file & will only be shared with your training tutor. We will not share your personal details with any other company Yes or No? *:
Verification:
Captcha