Workshop Booking Form

Please note:  Inclusion in the course is not complete until payment is received.

IF YOU EXPERIENCE DIFFICULTIES WITH THIS FORM
PLEASE REGISTER VIA PHONE 02 4975-1311

Your Name (required)

Practice Name (if applicable)

Profession (eg nurse, physio, doctor etc)

Postal Address

Town

State

Postcode

Email Address (required)

Phone Contact (required)

Select Workshop & Preferred Date (required)

Due to the ongoing uncertainty regarding Covid -19 we will be taking expressions of interest for these courses.
Please register your interest by completing this form and we will contact you in January to take payment and confirm the booking.
Due to current Covid-19 restrictions course will be restricted in size so don’t miss out. 

How would you like to pay for your workshop(s) (required)

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