觸感治療導師 報名表                                                 CIMI/ PIMI(嬰兒) / CPMI (兒童)/ 長者/ Aromacare/ Hospice
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Email *
Name in English *
Name in Chinese中文姓名 (同行姓名) *
Tel: (Day) *
Tel: (Cell) *
Tel: (Cell with whatsapp) *
Address:地址 *
Education *
Professional *
Payment *
1) Please describe your experience of baby massage, if any. *
2) Please describe your experience working with mother and babies. *
3) If yes, why do you wish to be an infant massage instructor? *
4) Please describe relevant interests and experience, e.g. massage, complementary therapy, dance, yoga, meditation, etc. *
4) Do you have A & P certificate? Issue by? *
I understand that the fee I HAVE PAID is NON-RETURNABLE. Payment is only refunded, if the organizer fails to reschedule within a year and have to cancel the course completely. *
Class *
I agree to receive promotional emails and other materials from H3Touch and its affiliates. Information requested is for H3 Touch marketing purposes only and will not be sold or shared with a third party. *
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