Zenthai Shiatsu Therapist Program - 2021 Application Form - Melbourne
Please submit your application for consideration. You can submit your form directly here and send a copy via email directly to: sally@zenmoves.yoga 

Once your application has been approved, you will receive a welcome package with details on the training and how to book in. Your position in the class is secured with a deposit of $950.

Completion of Level-One is a pre-requisite. The course investment is $3950 and is completed over 8 modules, all consisting of four days each.
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Email *
Full Name *
Contact phone number: *
D.O.B *
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Gender Pronouns (he/she/they/ze) *
Home Address *
Marital Status
What are your present and past occupations? *
Please share your background or experience with yoga, alternative therapies and bodywork? *
What is your experience with meditation? *
Outline your general health; including physical, mental and emotional. Only include what you think is valid. *
Share with us the reasons you're applying for the 2021 Zenthai Therapist Program? *
What and/or who are your inspirations in life and why? *
What do you value in life? *
How do you align your actions with your values? *
When, where and who did you completed Level One with? *
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. *
Emergency contact name, relationship and number: *
I understand that from March 1st 2021 there is no-refund-policy on course payments, unless the spot can be filled (negotiable for extreme circumstances). *
My Full Name (Signature) *
A copy of your responses will be emailed to the address you provided.
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