Enrolment Form - 1 Day Introduction to Massage First Name* Last Name* Date of Birth* MM slash DD slash YYYY Gender* Male Female Other Address* City* Postcode* Email Address* Phone* Preferred Course Date MM slash DD slash YYYY Please select one* Individual Couple Family Please provide the information of other participants in applicableName 1 Date of Birth Name 2 Date of Birth Name 3 Date of Birth How do you know us?* Our Website Other Websites Facebook Instagram Other SNS Heard from Someone Other FEE POLICY: All course fees are non-refundable. We reserve the right to cancel a course, in which case a full refund will be issued. By submitting this form I confirm that I have read and understood the Fee Policy and accept it as part of my enrolment. (You will have the option to pay for this course online using PayPal once you submit this form)Consent* I have read and understood the policy*CAPTCHA