Intuitive massaGE Course APPLICATION FORM TO ENROL Intuitive Bodywork Enrolment Form Name * Name First First Last Last Age * Are you an Australian Resident or Citizen? * YesNo Occupation * Address * Phone * Email * Have you completed one of the following prerequisite courses to enrol in the Intuitive Massage Course? * Level 1 Intuitive Massage Cert VI Remedial Massage Dip. Remedial Massage Do you have a minimum of 5 hours per week to devote to study, completing online assessments and maintaining your practice? * Yes No Do you currently hold any other qualifications within the healing arts? * Yes No If so, please list your qualifications below Date completed Your current reasons for wanting to study this modality: * Professional practice Personal and spiritual development Both Are you prepared to embark on the personal development component of the course? * Yes No Please indicate the date you are available to commence the course? * How often are you available to attend residential trainings. There are 6 in total. * 2 weeks 3 weeks 4 weeks Why do you believe this is the right course for you? * Signature * Date * Submit If you are human, leave this field blank. Δ