Registration for Modules 2 - 6
*NOTE: Participants are required to complete Module 1 before progressing to the remaining modules.
Modules 2 to 6 may be taken in any order.
Email address *
Module 2 - Course Dates:
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Module 3 - Course Dates:
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Module 4 - Course Dates:
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Module 5 - Course Dates:
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Module 6 - Course Dates:
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Have you completed Module 1? *
Date completed Module 1 *
MM
/
DD
/
YYYY
Full Name *
Contact Number *
Mailing Address *
Gender *
Place of Employment *
Position *
Educational Qualification *
I understand that my registration is on a first-come first-served basis. If the class is full, I will be informed, and I will have to either postpone to the next available course date or accept a full refund. *
Required
I understand that I have to make full payment within 14 days for my registration to be confirmed. *
Required
Cancellation/Postponement by Us
In the unlikely event that Healing Hearts Centre has to cancel or postpone the course dates, registrants will be given a choice of:
1. A full refund
2. Transfer to another course date.
Cancellation/Postponement by You
More than 14 days from Course date:
Cancellation Fee - $50
Postponement Fee - $30

Less than 14 days from Course date:
Cancellation - No Refund
Postponement Fee - $150
A copy of your responses will be emailed to the address you provided.
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