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Date of Birth
Please indicate which Peter Hess Sound Massage training you are registering for?
---4-5/07/2020 - Sound Massage I - WA10-11/10/2020 - Sound Massage - Level I - Perth WA12-13/10/2020 - Sound Massage - Level II - Perth WA10-13/10/2020 - Block Sound Massage - I + II - Perth WA7-8/11/2020 - Final with Supervision - Melbourne14-15/11/2020 - Masterclass - Melbourne21-22/11/2020 - Final with Supervision - Perth23-24/11/2020 - Masterclass - Perth27-30/11/2020 - Sound Massage III&IV - Perth5-6/12/2020 - Sound Massage - Level I - WA7-8/12/2020 - Sound Massage - Level II - WA5-8/12/2020 - Block Sound Massage - I + II - WA
Please identify any chronic physical or emotional conditions which may impact your capacity to fully participate in this course.
I am pregnant.
I am fitted with a Pace Maker.
I am taking prescribed medication.
I suffer from a serious mental illness.
By ticking the media consent box, you agree to PHAA taking photographs or videos of you as a participant. These images may be used for promotional material (included printed, digital or online format).
I agree.I do not agree.
Please list all previous training in Peter Hess Sound Massage Method and attach a copy of course certificates
I accept the terms and conditions of Peter Hess Academy Australia training.