** Course registrant or student are herein referred to as STUDENT; Course provider, Discover Reflexology, and Trenna Reid are herein referred to as DISCOVER.
STUDENT INFORMATION
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
P.O. Box
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Mobile Phone Number
Your answer
Home Phone Number
Your answer
EMERGENCY CONTACT INFORMATION
Please provide the name and phone number of a person to contact on your behalf in case of an emergency