Online training Registration Form
By signing this document the undersigned is an officially registered for the Bronnikov Method training.
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On which course you would like to register?   *
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First Name *
Last Name *
Sex *
Date of Birth *
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The Address: *
Email Address: *
Phone Number *
Skype Address: *
Education: *
Profession:
Your employment now?
The state of my health: *
Existing Medical Condition(s):
How did you find out about the Bronnikov Method?: *
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What is your purpose of studying Bronnikov Method?
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