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IMPORTANT NOTE
In the interest of harmonious balance of energies, the right is reserved
to refuse admission onto the course, or to request that a student does not
continue with the course, where this is deemed necessary. I
have read and understood and accept the above conditions and wish to apply to
join the Course
Date ------------------- Full
name ------------------------------------------------
signed-------------------------------- Address
--------------------------------------------------------------------------------------------
Post Code
Tel. No. Home
-------------------
Date
of Birth ------------
Occupation ------------------------------------------ Have
you studied Anatomy and Physiology to a satisfactory level? Yes/No
If “yes”, please give
details-------------------------------------------------------------------
Holistic Courses attended
---------------------------------------------------------------------
Interests, hobbies -------------------------------------------------------------------------------
Reasons for joining the course
----------------------------------------------------------------- Are
you interested in the 1 year certificate course ?,
2
year diploma course ?
2nd year only?
Please tick which one
Cost of course is £600 per year (ie. £300 for each section of the 6
days) £50 to be paid on
booking. The balance may be paid in
installments
by arrangement with the tutor Payments
can be made by cash, cheque or credit card (please make cheques to S.Michelson)
There is a £40 fee at the end of each year for the scrutiny of the
essays.
It is recommended that contact be made with the tutor before making a
final decision,
preferably with a personal interview, for mutual benefit.
Send to; Sandra
Michelson, Astley Clinic of
Complementary Medicine,
26/28,
Tel.
0191 2375935
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