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Cell Phone Number
(123) 456-7890
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Home Phone Number
(123) 456-7890
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About You
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Previous Experience
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What is your previous experience with Rosen Method?
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Professional Background
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What is your professional background in the health professions, movement, or related fields?
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Personal Experience
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What is your personal experience with other forms of bodywork of movement?
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Purpose
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What is your purpose in taking this Rosen Method program?
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Course Information
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Which course are you registering for?
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Course Dates
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Please list the start and end date(s) for the course you are registering for.
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