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The Wellness Specialist Training Booking Form - Edu Wellness Facilitator
This form is for those interested in the Edu Wellness Facilitator Training offered by The Wellness Specialist. All information on this form will remain strictly confidential
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Preferred Email Address
*
Your answer
Gmail Email Address (necessary for access to Google Drive and Classroom)
*
Your answer
Which Country are you from?
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Your answer
Preferred Payment Method
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Direct Transfer/EFT (For South Africans or holders of SA Bank Accounts)
PayPal
PayPal email address
Your answer
Contact Number (Include Country Code)
*
Your answer
Please tell me a little about you, and your life experience?
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Your answer
I confirm that I am a qualified educator
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Yes
No
Required
Are you SACE registered?
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Yes
No
I understand that the nature of this course is to align towards wellness counselling & incorporating mental wellness into the training or educating process
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Yes
No
Required
I understand that all material and training is copyrighted and that certification is only issued upon full payment. There is no refund once the class begins as all information is provided to you at the beginning
*
Yes
No
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