Anatomy workshop registration form
Please complete the registration form for upcoming anatomy workshops. You can choose to register for one/some/all of the upcoming workshops, just make sure you meet the prerequisites before you register. For additional information on the workshops you can visit our website at
You will receive a confirmation email after submitting the form. If you do not receive any confirmation within a few hours then something might have gone wrong. Please send us an email at
Name (as to appear on certificate) *
ID number
Email *
Cellphone number *
Anatomy workshop registering for: *
Profession *
Address *
Vehicle license plate number *
For entry onto premises where course is held
I want future information from HNH
Clear selection
Payment details
Account holder: Holistic Neuro Health NPC
FNB Business Cheque account 62772882132
Branch number: 250655

Please note that proof of payment needs to be sent to
Cost (Note: please contact us for scholar, student and groups of 10+ discount before making payment) *
Reference *
Please confirm the reference you put down when you made payment
For Health Care Professionals Only - for selected workshops only
Please fill in the next three questions to enable CPD points to be allocated to you. For selected workshops only. Please confirm with us beforehand whether the workshop you are interested in has CPD points allocated to it
Name of Clinic / Practice
HPCSA number
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