Bowen Training UK Application form Post Graduate Training in The Original Bowen Technique 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 …. ...............(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