Instructor Qualification Program 2024
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
Confirmation Email
example@example.com
Pole Level and Home Studio
*
A student must be Pole Intermediate 1 or higher or at least 2 years of pole experience with a stable circus climb.
Why do you want to take IQP?
*
Medical Information
*
Do you have any illnesses or injuries we should know about? Please tell us.
Payment Scheme
Early Bird Php 50,000 on or before October 31, 2024
Regular Rate Php 55,000
Emergency Contact
*
First Name
Last Name
Relationship
*
Contact Number
*
Submit
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