Application Form

Thank you for your interest in attending one of our training courses! This form provides us with all of the information we require to process your application. Please pay special attention when entering your contact details, particularly your email address.

The purpose of this application form is to ensure that you fulfil the correct entrance criteria to attend out training courses and to allow us to communicate with you regarding the course. If you go ahead and train with us, we will hold this data for ten years.

Personal Details

Please enter your full name
Please take time to be accurate as if you go ahead and book with us, your certificate will be exactly as you write here eg. RGN
Please enter date of birth as DD/MM/YYYY
Please enter full address
Please ensure your contact number is correct as we may need to call you prior to your course
Please include at least one phone number that we can reach you at.
This field is extremely important as pre-course reading and e-learning will be sent via email. Please always check your junk folder as well as your inbox.

Course Details

Experience the treatment on the day for £60.

Please state how you heard about us if not listed above
We like to thank anyone who refers people to us

Professional Details and Qualifications

Please include number of years in your profession and a description of what you do.
If you do not have a registration number, please type "N/A"
Please provide as much detail as possible here, or write "none" if this is your first course. Where possible, please include the names of any courses you have completed, the training provider and date you achieved the qualification.
Anything further you feel we should know
Further courses you would be interested in attending
These can be found in the About section below