Mind Body Education Online Enrolment Form

Mind Body Education

Industry Accredited & Internationally Recognized Training for Holistic Therapists Enrolment Form
Name*

First NameLast Name
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.

Personal Details

All of your details will always be kept strictly confidential
Name of your emergency contact person*

First NameLast Name
Your emergency contact persons phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Your relationship to your emergency contact person*
Do you have any medical condition that we should know about?
Do you have any mental health issues that we should know about?
Is there anything else you would like to tell your teacher about?
Registered Holistic Wellness Coach - Online/Virtual Classroom - Commencing February 6th 2024Master Practitioner of Holistic Art Therapy - Online/Virtual Classroom - Commencing January 24th 2024Master Practitioner of Integrative Counselling - Online/Virtual Classroom - Commencing February 6th 2024
RPL - If Recognized Prior Learning is available for the course you are enrolling in for Mind Body Education graduates, please upload your MBE graduation certificate here

Cancelof

Terms and Conditions

Homework and Graduation: Completion of all homework is necessary to pass and graduate.
Fees and Refunds: Full payment is required upon enrollment. Non-refundable fees apply. Failure to submit work or discontinuation may result in forfeit fees.
Deferrals: Illness or exceptional circumstances may allow for deferral at the Director's discretion.
Course Delivery: Rare cases of course postponement may occur due to uncontrollable circumstances.
Class Cancellations: Unlikely events leading to class deferrals will be communicated via email and social media.
Behaviour Policy: Disruptive behaviour may result in expulsion after written warnings. No refunds or certificates will be provided upon expulsion.
Liability Disclaimer: No liability is assumed for any harm resulting from practical application. The course content is not intended to replace nor is it a substitute for medical advice.
Mental Health Disclaimer: Not suitable for those currently dealing with mental health issues. Agreeing to terms affirms awareness and absence of such issues.
Learning Style & Conditions: Participants are responsible for their learning abilities and may seek additional support as needed.
Education Awards: This course is industry-accredited and does not lead to government-regulated higher education awards.
Communication: Direct communication with teachers and Mind Body Education is encouraged via contact@mindbodyeducation.info.
I have read and agree to the above terms and conditions.
IMPORTANT: If you were referred to this program please let us know who referred you. Please type the name or number you were provided below. If no one referred you please type NA*

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Mind Body Education

Personal Details