DEC - BW004 - Sun-Thurs 9-13 December at 7pm Los Angeles

Beginners' Workshop: Registration & Payment
11 to 15 September

8am Hawaii

11am PDT LA, 12pm MDT Denver, 1pm CDT Texas, 2pm EDT NY

6pm Iceland

7pm London, Portugal and Nigeria

8pm South Africa, Netherlands, Norway, Sweden, Denmark, Belgium

9pm Finland, Israel, Greece, Saudi Arabia, Nairobi, Moscow

10pm Oman

Next day 6am New Zealand
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Health Information
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Do you, or have you in the past suffered from any of the following symptoms or conditions (please tick relevant):*

Allergy environmentalAllergy foodAnaemiaApathyAsthmaBuzzing earsChest pain (not around the heart)Chronic fatigueCoughingDeterioration of hearingDeterioration of visionDiabetesDryness in mouthEmphysema & COPDEpilepsyFear of sultry airFear without reasonFlashes before the eyesHeadachesHigh blood pressureHypoglycemiaInsomniaIrritabilityKidney diseaseLack of concentrationLoss of feeling in the limbsLoss of smellMental fatigueMigraine headachesPantingProne to colds and fluSchizophreniaShort temperShuddering in sleepSudden physical exhaustionTightness around chestTremblingVaricose veinsWeight gainsWeight lossOther
Medications : name and dosage*
For how long have you been taking each medication?
Medical history : trauma, accident, surgery*
You will receive an email email containing information about the Beginner Workshop, the LOGIN to the online meeting room via Zoom and instructions for the first session.

A member of our team will call you if you are having difficulty logging in.
By completing this form you agree to Learn Buteyko sharing your details
with Learn Buteyko Practitioners.

We will not give or share your details or personal information with third parties.

Your payment*

1 Person$75.00

Repeat workshop$50.00

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Beginners' Workshop: Registration & Payment

Personal information

Health Information