formulier
  • Registration form

  • Personal info:

  • Address:

  • Reachability:

  • Current education level

  • How did you hear about the school?

  • I would like to subscribe myself for the following: (Multiple options possible)*
  • Start date of the Course
     - -
  • Start date of second Course
     - -
  • To view Course dates, click here. (This link will open in a new page)

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  • Start date of the Seminar
     - -
  • Start date of second Seminar
     - -
  • To view Seminar dates, click here. (This link will open in a new page)

    _______________________________________________________________________________

  • Start date of Diploma Course
     - -
  • To view Diploma Course dates, click here. (This link will open in a new page)

    _______________________________________________________________________________

  • Start date of Exam
     - -
  • Start date of second Exam
     - -
  • To view Exam dates, click here. (This link will open in a new page)

    _______________________________________________________________________________

  • Judicial declaration:

     

  • I am over the age of 16*
  • If you are 16 or younger we need an e-mail confirmation from your parents, guardian or provider before registrating. The e-mail should state that they formally give you permission to enter the Diploma course or Seminar you subscribed for. They can send an e-mail to klassieke@shiatsu.nl. As soon as we have received this e-mail you can proceed your registration.

  • I give permission to share my adress information with fellow students*
  • I would like to receive the school's Digital Newsletter*
  • Undersigned declares to have filled in the form truthfully, to agree with the General Terms and Conditions and to be informed of the payment terms both as described on www.shiatsu.nl

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  • *) Admission occurs by chronological order of received payment.

    **) Undersigned has read, understood and agrees unconditionally with the general terms and conditions set by the Dutch School for Classical Shiatsu to be allowed to take part in a level on the diploma course. The total amount of a diploma course level is € 1100,- (incl. submission fee of € 350,-). If the whole amount is being paid at once, with a minimum of one month before commencement of the level concerned, a discount of € 45,- is being granted. There is a possibility to receive a payment contract, only when requested largely in advance at the secretariat. In this case the full amount has to be paid within three months after commencement of the level concerned. The submission fee will be € 390,-, the total amount for the diploma course level € 1100,- + administration costs. Admission occurs by chronological order of received payment.

    ***) Undersigned has read, understood and agrees unconditionally with the general terms and conditions set by the Dutch School for Classical Shiatsu to be allowed to take part in Exams. The examination fee of € 75,- ( € 85 for Level 4) must have been paid to the account number mentioned below at the latest of one month before the examination date, indicating the examination level and examination date.

  • Secretariat: Stuyvesantstraat 24, 2593 GM Den Haag

    Phone: 070 - 383 15 00

    E-mail: klassieke@shiatsu.nl

    K.v.K (Den Haag): 27156302 - Bank: NL38ABNA 056.84.25.502

    https://www.shiatsu.nl

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