Application Form - Cobblers Children - Bowtech

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Bowen Training UK
Application form Post Graduate Training in
The Original Bowen Technique
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Before applying on any course please check availability on this course with the relevant instructor
All deposits are transferable, but non-refundable
Please complete in Block Capitals. Thank you.
Name
................................................................ Name you like to be called ………………
Address
............................................................................................................................
...................................................................... Postcode ....................................
Phone No
.........................………….....(Home)
e-mail
......................................................
...........................................(work)
Occupation...........….............…….........
Qualifications in other Therapies/modalities (if any) ..............................................................
.............................................................................................................................................…....
Do you have a First Aid Certificate?………
BAUK membership No .............FULL
ASSOC
Please book me in on the following course(s):
Cobbler’s Children
.............. or ...............(dates*) ....................................... (location)
Back 2 Basics
.............. or ...............(dates*) ....................................... (location)
Tips, Taping & Technique
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
…. ...............(dates*) ....................................... (location)
Please provide alternative dates wherever possible as we cannot guarantee there will be spaces on your chosen course.
If booking in for more than one course, please use a separate application form for each. Thank you.
I wish to purchase the Bowen Strapping (1 x 7.5cm x 4m elastic adhesive bandage & 1 x 1.5 cm
blenderm or leukoflex) from you (Tips, Taping and Technique seminar only) YES
NO
I will bring a pair of scissors to the workshop (TTT seminar only)
YES
NO
I would / would not like lunch at a cost of £5.50 per person per day (Lymington venue only)
Previous training in The Bowen Technique (please state when and with whom you trained) ……………
.....................................................................................................…..........………………………….
Where/how did you hear about this course? ........…..........…………………………………………
I am willing and able to bring a therapy couch for the course
YES
NO
I enclose my deposit of £...............
made payable to Nicola Hok
(Deposits: £50 for each Module or Seminar. Please note that balances are payable a minimum of
two weeks before the course commences.) All course fees are quoted in £ Sterling.
Signed ..............................................................
Please return to:
Date ..................................….........
Nicola Hok, 3 Peony Gardens, London, W12 0RX
Tel: 020 8749 6952 email: info@bowenworks.net
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