Enrolment Form
Kinesiology Excellence Courses Byron Kinesiology Centre 28 Seaview St Byron Bay , NSW 2481 Phone: 02 6685 7991
Enrolment Form Which course would you like to enrol for? Please circle course name: Herbs for Kinesiologists HFK, Nutrition for Kinesiologists NFK, Weight Management for Kinesiologists WMFK, First Aid for Emotions, Chi-Tonix Rapid Stress Release, The Chi of Money and Self –Esteem, Chi-Tonix Energy Fitness, other Place and Dates: Name:
Date of Birth___/___/___
Address: Town, State and Post Code: Phone:
Mobile:
e-mail address, please print clearly: Have you studied Kinesiology before? __________ If so which modality and to which level? Please note that HFK, NFK and WMFK have pre-requisites of at least competent TFH 4 or Cert IV in Kinesiology.
Do you have other background in Natural Health? What kind of work do you do? Please use back of form to write more info
Why would you like to take this class?
O I enclose $50 deposit for a 1 day course O I enclose $100 deposit for a 2-3 day course O I enclose the full amount of $ ___________ O I transferred the money by internet, my reference_______________ Our refund policy is available on our website www.wellness.net.au
Thank you for enrolling with BKC Account Turner & Wismer BSB 012554 Account 209381289
Enrolment Form Which course would you like to enrol for? Please circle course name: Herbs for Kinesiologists HFK, Nutrition for Kinesiologists NFK, Weight Management for Kinesiologists WMFK, First Aid for Emotions, Chi-Tonix Rapid Stress Release, The Chi of Money and Self –Esteem, Chi-Tonix Energy Fitness, other Place and Dates: Name:
Date of Birth___/___/___
Address: Town, State and Post Code: Phone:
Mobile:
e-mail address, please print clearly: Have you studied Kinesiology before? __________ If so which modality and to which level? Please note that HFK, NFK and WMFK have pre-requisites of at least competent TFH 4 or Cert IV in Kinesiology.
Do you have other background in Natural Health? What kind of work do you do? Please use back of form to write more info
Why would you like to take this class?
O I enclose $50 deposit for a 1 day course O I enclose $100 deposit for a 2-3 day course O I enclose the full amount of $ ___________ O I transferred the money by internet, my reference_______________ Our refund policy is available on our website www.wellness.net.au
Thank you for enrolling with BKC Account Turner & Wismer BSB 012554 Account 209381289
