Registration Form
Please complete this Caribbean School of Holistic Therapies Health and Wellness (CSHTHW) registration form and SUBMIT to complete registration.
Email address *
Caribbean School of Holistic Therapies Health & Wellness CIBTAC INTERNATIONAL DIPLOMA or CERTIFICATE LEVEL 3 – Massage/Reflexology (Anguilla, Barbados, Trinidad Classes)
Title: Mr • Mrs • Ms • Miss *
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First Name: *
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Last Name: *
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Date of Birth: *
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National ID # (ID, DP or Passport): *
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Your Current Address: *
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In which country will you be taking the course? *
Primary Telephone Number: *
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Present Occupation: *
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Qualification (if any)
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Emergency Telephone Contact: *
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Why do you want to become a Therapist? *
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Can you commit to minimum 12 hours a week home study? *
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Are you able to give / receive treatments in a mixed setting of males / females? *
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Please indicate any special (i.e. language) needs that CSHTHW should be aware of:
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Please indicate any disabilities or medical conditions that CSHTHW should be aware of (including allergies):
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State any other information you consider to be relevant to your application:
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Select your Level 3 course: *
ASSESSMENTS AND CIBTAC EXAMS
Course requirements must be completed and all course fees fully paid prior to sitting the CIBTAC examinations. Students that fail any assessment must re-sit that component. A student failing a CIBTAC examination may re-sit the unsuccessful units within two years. Additional fees will apply.
CASE STUDIES
Case Studies and Reflective Cases have to be completed, submitted and assessed before a student can participate in the CIBTAC Examination Theory & Practice.
KEY DATES
Registration – 30th June 2019
Initial payment (USD $500) to secure Registration – 15th July 2019
All Course Fees must be paid in full by – 5th August 2019

COURSE START DATES:

– 30th August 2019 (Anguilla)
– 9th September 2019 (Trinidad and Tobago)
– 21st September 2019 (Barbados)


NOTE: In the event that we do not meet the minimum number of delegates (8) the course may be rescheduled. In the event the course does not commence at all, a full refund will given.

CARIBBEAN SCHOOL OF HOLISTIC THERAPIES HEALTH AND WELLNESS
Ascot Great House
Ascot Avenue
Gibbs, St. Peter
Tel: (246) 833 4754 / 823 1003
Email: schoolofholistictherapies@gmail.com
FB: @cshthw

“Your entire universe is in your mind and nowhere else. To expand the universe, expand your mind.” Deepak Chopra
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