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Thera-Build® Licence Renewal
Only complete this form if you hold a current Thera-Build® Licence and wish to renew it.
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Thera-Build® Licence Renewal
By submitting this Licence Renewal Request Form you agree that you have read, understood and agree to continue to be bound by the original Terms and Conditions of the Thera-Build® Licence Agreement, listed here: https://www.bricks2learn.com/thera-build/licensed-practitioners/documents

Full Name *
Postal Address *
Email Address *
Current Thera-Build® Licence Certificate No: *
Confirmation that I continue to hold current Public Liability and Professional Indemnity Insurance. *
Required
Confirmation that I continue to hold a current DBS certificate/or have joined the DBS update service. *
Required
What Happens Now?
Your Licence Renewal Request Form will be processed and an invoice for £75 will follow.  
Once accepted and full payment has been received, your new annual licence will be issued.
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