Carol Gray Center for CST Studies Class Registration Form

Carol Gray Center for CST Studies Class Registration Form
Full Name:*

First NameLast Name
E-mail:*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
What is your profession?*
Are you NCBTMB Certified?*

YesNo
Have you studied CST before?*

YesNo
When and with whom have you studied CST?
Have you studied other kinds of bodywork?*

YesNo
Which kinds of bodywork have you studied?
Do you attend births?*

YesNo
What is your role at births?
Why do you want to study with us?*
How did you find out about the Carol Gray Center for CST Studies?*
How would you like your name and titles to appear on your certificate of completion?*
We send emails to students in advance of each class with their email addresses showing. This allows students to communicate with each other about things like room and ride shares. Please indicate your preference.*

Please share my email address with students in my class.Please do not share my email address with students in my class.

Choose Your Classes*