Workshop Registration Form
Please complete this Caribbean School of Holistic Therapies Health and Wellness (CSHTHW) workshop registration form and SUBMIT to complete registration.
Sign in to Google to save your progress. Learn more
Email *
Caribbean School of Holistic Therapies (CSHT)
Which workshop are you taking? *
Required
Where are you located? *
Selected workshop start date *
Title: Mr • Mrs • Ms • Miss *
First Name: *
Last Name: *
Date of Birth: *
MM
/
DD
/
YYYY
National ID # (ID, DP or Passport): *
Your Current Address: *
Primary Telephone Number: *
Present Occupation: *
Qualification (if any)
Emergency Telephone Contact: *
Are you able to give / receive treatments in a mixed setting of males / females? *
Required
Please indicate any special (i.e. language) needs that CSHT should be aware of:
Please indicate any disabilities or medical conditions that CSHT should be aware of (including allergies):
NOTE:  
In the event that we do not meet the minimum number of participants courses may be rescheduled. In the event the course does not commence at all, a full refund will be given.

CARIBBEAN SCHOOL OF HOLISTIC THERAPIES
Ascot House
Ascot Avenue
Gibbs, St. Peter
Tel: (246) 833 4754 / 823 1003
Email: schoolofholistictherapies@gmail.com
FB: @cshthw
“Your entire universe is in your mind and nowhere else. To expand the universe, expand your mind.” Deepak Chopra
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Bold Move. Report Abuse
Google Forms