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Training Registration Form
 

PLEASE COMPLETE THIS FORM BEFORE YOU SUBMIT PAYMENT

This form is exclusively for students to complete to register for training.

  * Fields are mandatory
  * Please complete the fields below:
     
  Name:
  Surname:
  Salon / Business Name:
  ID number:
  Email Address:
  Mobile Nr:
  Full Address:
  City/Town:
  Postal Code:
  Language:
     
  if Referred, by who?
 
   
  * Training Branch Attending:
     
  IN-Salon-Special Request
  Gauteng JHB - Sandton
  Gauteng JHB - ILLOVO
  Gauteng JHB - Ruimsig Roodepoort
  Gauteng JHB - East Rand
  Gauteng PTA - Centurion
  Gauteng PTA - East
  Gauteng PTA - North
  WC - CPT - TygerValley
  WC - CPT - Goodwood
  EC - Port Elizabeth
  EC - East London
  KZN - Durban North
   
  * Training Type:
     
  Full Training
  Conversion Training -(proof of previous training mandatory)
  Additional Therapist -(only applicable when full training booked)
   
  Confirmed Training Date: --
   
  * * I have read the Terms and Conditions of enrolling for this training (read T&Cs at the top of page)
     
  Yes