Apply online for Indian Head Massage Certificate

For which location are you booking?*

Select Bristol Worcester

First Name*

Last Name*

Email Address*

Email Address again*

Preferred contact number*

Address 1*

Address 2

City*

County*

Postcode*

Country*

Occupation*

Educational Qualifications*

Previous Certified Training (Please include AP&P and any relevant bodywork training, course names and dates)*

Do you have a First Aid certificate?*

Yes
No

Please give date of First Aid Certificate

Do you hold an Anatomy, Physiology and Pathology qualification Level 3 or above?

Yes
No

Why are you interested in this course?*

What, if any, previous experience do you have with Indian Head massage?*

How do you take care of yourself (eg exercise, Yoga, psychotherapy)?*

Is there anything else you would like to say about yourself?*

Which course are you applying for?*

Bristol (Sept 2019 - Feb 2020)

How did you hear about this course?

Word of mouth
Flyer
The Spark
Bristol 24/7
Bristol Life Magazine
Google
Other internet search
Facebook
Email from BCMB
From a massage therapist who trained at BCMB
Attended a previous course/workshop
Event
Other

Would you like to be added to the BCMB mailing list?*

Yes
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