| Required fields are marked with an asterisk (*) |
| I WISH TO BOOK (Please fill in Course’s date) *
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| First Name *
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Surname *
| Upload your photo
(max 500k) |
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Female
Male |
Date of Birth
Age
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| First Language
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Place of Birth
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| Postal Address
Main closest town or city
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Telephone - Home
Telephone - Work
Telephone - Mobile
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Email *
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Occupation
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How did you find out about Byron Thai Massage School?
Please be specific, write how you heard about it, which advertising, which exact magazine (Wellbeing, Living Now, Nature &
Health, Australian Yoga Life, Body & Soul), print out, flyer, friend, web site/internet search, others.
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Have you ever studied Thai Massage before?
Yes
No |
If yes, where? How long?
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Have you ever studied any other Massage technique?
Yes
No
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If yes, which ones, where and how many hours was each course?
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Do you practice Massage?
Full-time
Part Time
As a Hobby
To Friends/ partner
No |
| Have you ever practiced any Yoga, Pilates or any form of martial arts or dance?
Yes
No |
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Yes
No
What?
Which Style?
How Often?
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Do you consider yourself physically fit?
Yes
No
How is your flexibility?
How is your strength?
How do you consider your body awareness?
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| Are you interested in the 1hr yoga class every morning?
Yes
No |
| Would you rather do your own practice and start 1 hr later?
Yes
No |
Please write down any health problem, injury, old surgery, joint/mobility problem:
Do you Smoke?
Yes
No |
| What is your motivation towards this course?
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What would you like to do with what you will learn, once you have finished?
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| I have read and agree to the course Fee And Refund policy of Byron Thai Massage School *
Yes |
Please enter the characters you see in the image, and then click Submit:
(If you cannot read the image, click for a new one) |
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