Zenthai Shiatsu Therapist Program - 2024 Application Form - Ninderry
We warmly invite you to submit your application for consideration here.
Please send an email to Gwyn, to notify him once you have applied :: gwynzenthai@gmail.com 

If and when 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. We recommend to pay the deposit as soon as you can to secure your place in the class. 

Completion of Level-One is a pre-requisite. The course investment is $4200 and is completed over 8 modules, all consisting of four days each.

PLEASE NOTE: THIS APPLICATION FORM IS FOR THIS LOCATION ONLY. IF YOU WANT TO APPLY FOR MULTIPLE LOCATIONS, PLEASE FILL THE FORMS FOR THE OTHER LOCATIONS AND MAKE NOTE ON YOUR FORMS.

For full course details please go to: www.zenthaishiatsu.com 
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Email *
Full Name *
Contact phone number: *
D.O.B *
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Gender Pronouns (he/she/they) *
Home Address *
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 2024 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? *
Are you applying for the Therapist Program in other locations? If so, which location/s?
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 February 1st 2024 it is challenging for us to offer refunds, unless your spot can be filled (negotiable for extreme circumstances). *
Enter your Full Name (Signature) *
A copy of your responses will be emailed to the address you provided.
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