Application for Training Course, online training or assessment

(This form is for use by those who are resident outside of the UK and EU)

Please complete the form below in order to book a place on a 'ReboundTherapy.org' training course or assessment. Complete all fields with a *. You will then be required to click a PayPal link, this will include the use of all major credit/debit cards.

Each form should be completed per applicant, once the form has been submitted, you will be asked if you would like to add another applicant if necessary.

*Course Title

*Course Venue and Date - or Online Course:

*Full Name:

*Date of Birth: (dd/mm/yy)

E-mail:

*Home Address 1:

*Home Address 2:

Home Address 3:

*Telephone:


Organisation Represented (if applicable):

Any relevant qualifications held:

Any previous experience in Rebound Therapy:

Are there any medical conditions of which we should be aware?

Notes:


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