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Zenthai Level One - Ourimbah, December 2022
Thankyou for your interest in becoming a Zenthai Practitioner.
This is our registration form for the December 1 - 4th, four day Zenthai foundations training at La Tierra Curativa.
Once your form is submitted, I will respond by email.
Thanks Sonia
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Email
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Your email
Name (as you would like it to appear on your certificate).
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Your answer
Contact Phone Number
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Your answer
Date Of Birth
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Home Address:
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Your answer
What are you hoping to get out of the training?
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Your answer
I understand that Zenthai Shiatsu is a physical and interactive practice, and in choosing to attend this class I have assessed I am able to safely participate. I take full responsibility for injuries that may occur, and understand that instructions are to be followed to minimise risk of injury. *
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Yes
Outline your general health; including physical, mental and emotional. Only include what you think is valid.
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Your answer
Do you have any allergies or dietary requirements? (we provide morning tea, (fruit and herbal tea) and lunches (vegetarian). Dinners included for those staying on site. Must pre-book.
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Your answer
Would you like to stay on site?
The cost could include dinner.
$99 covers your dinner and accomodation for 3 nights.
$45 for just staying on site. A kitchen is available for use, so bring your own ingredients and perhaps others will like to cook with you.
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Yes, with dinners catered please $99
Yes, But no dinners catered Thanks $45
No thanks
If yes, what option would you prefer. All are the same price.
Camping (bring your own tent and bedding).
Camping in the large canvas tents provided, these have mattresses, there will be a few people sharing (bring your own bedding).
In your vehicle (the car park has flat ground ideal for vans etc). There are limited spaces.
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Do you plan to arrive Wednesday evening? If you can arrive between 6pm - 9pm that will be great. Extra cost $20 (no meal is provided).
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Yes
No, ill arrive Thursday morning before 8:30am.
I understand that after November 1st, there will be no refunds. Unless it is for extreme circumstance.
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Yes
My Full Name (Signature)
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Your answer
Send me a copy of my responses.
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