Zenthai Therapist Program - 2026 Application Form - Northern Rivers - Myocum 
We warmly invite you to submit your application to join the Program in Northern Rivers 2025. Please submit your application directly through this portal. Enquiries and curiosities welcomed via email to Merryn and Harri at: zenthainorthernrivers@gmail.com

Once your application has been accepted, you will receive a welcome package. A deposit of $950 is required to secure your position. We recommend to pay the deposit as soon as you can to secure your spot. 

Completion of Level-One is a pre-requisite. The course investment is $4500 and is completed over 8 modules, all consisting of four days each.

THIS APPLICATION FORM IS FOR ONLY FOR THIS LOCATION. IF YOU WANT TO APPLY FOR MULTIPLE LOCATIONS PLEASE FILL THE FORMS FOR THE OTHER LOCATIONS AND MAKE NOTE ON YOUR FORMS.

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Email *
Full name: *
Email: *
Phone number *
Date of birth *
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Gender orientation / pronouns  *
Residential address *
Marital status *
What are your past and present occupations? *
Share your background or experience with yoga, movement, alternative therapies and bodywork? *
What is your experience with mediation? *
Outline your general health; including physical, mental and emotional. Only include what you think is relevant.  *
What are the reasons for applying for the 2026 Zenthai Therapist Program? *
What are your inspirations in life and why? *
What do you value in life? *
How do you align your actions to your values? *
When, where and with who did you complete Level 1? *
Are you applying for the Therapist Program in another location/s? if so, which location/s? *
I understand the Zenthai Shiatsu is a physical and interactive practice, and in choosing to attend this course I have assessed my ability to safely participate. I take full responsibility for injuries that may occur, and understand that instructions are to be followed to minimise risk of injury.  *
Required
Please provide an emergency contact name, number and relationship.  *
I understand that, starting from March 1st, 2026, there will be a no-refund policy on course payments, unless the spot can be filled. Exceptions may be considered for extreme unforeseen circumstances *
Required
I understand that if I choose to withdraw from the course at any point after it has begun, the full course fee will still be due *
Required
Full name (electronic signature) *
A copy of your application will be emailed to the address you have provided. If you do not receive an email confirmation, please end this filled out form to - zenthainorthernrivers@gmail.com  *
A copy of your responses will be emailed to the address you provided.
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