2 Day Kinesiology Introductory Workshop Registration Form

2 Day Kinesiology Introductory Workshop Registration Form

Fill out the form carefully with all required details. NO payment is needed to register.
Available dates:

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Weekday : Wednesday, 8th & Thursday, 9th February 2023

OR

Weekend : Saturday, 11th & Sunday, 12th February 2023

Day 1 : 9:00am - 5:00pm

Day 2 : 9:00am - 3:30pm

Early Bird Offer - Save 50% - Ends 3rd February 2023

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Workshop Fee is $250 and is required to secure your place. We do not like taking your payment over the internet so simply fill out this form and we will call you to follow up your payment or alternatively feel free to call us on 9330 7443.
Your Name*

First NameLast Name
Your E-mail*
example@example.com
Mobile Number*
Workshop Course Availability - Select*

Weekday Workshop - 8th and 9th February 2023Weekend Workshop - 11th and 12th February 2023
How did you hear about the Energetic Wellness Centre? Tick all options that apply.*

My PractitionerReferred from ONeill CollegeRadio advertisementSocial MediaFriendExpoStreet SignagePodcastGoogleOther
I am interested in attending the Introductory Workshop because:*

I am considering applying for the Kinesiology Qualification Workshop SeriesI want to know more about KinesiologyI am supporting a friendI won the workshop for freeOther
Additional Comments
Add any required comments
By submitting this application form you agree to contact, or be contacted by, the staff at the O'Neill Kinesiology College to process your payment. O'Neill Kinesiology College provides World Class Training of the Diploma and Advanced Diploma of Kinesiology. You agree that you understand your registration is not finalised or confirmed until a payment has been processed. A deposit component of $50 is non refundable. Cancellations with less than 24hrs notice or failure to attend are non refundable, however, in the event of any medical emergency or unforeseen cancellation such as Covid restrictions, we agree to carry forward your booking to a new date. Refunds will be considered by formal application only. To indicate your acceptance of these terms please sign below and click to submit your form.

Thank you for your understanding and we look forward to welcoming you at the Workshop.
Signature*

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ENQUIRY TRACKER IN PROGRESS

	Date	Outcome	Follow Up Date	Outcome	Enquiry Closed
Email contact
Phone contact

ENQUIRY TRACKER

Attended Intro WorkshopEnrolled to Level 1/Individual ModuleEnrolled to Diploma/Adv Dip
NOTES
Should be Empty: