Professional Development Courses Form

First Name*

Surname*

Mobile Number*

Date of Birth*

Choose your continuing education course*

Do you have a diploma in Therapeutic Massage or similar?*

Please rate your experience in massage therapy*

Do you live with the effects of injury, long-term physical or mental illness or disability?*

Are you presently under the care of a physician, therapist, or on medications of any kind?*

Declaration*

I declare that to the best of my knowledge I have no communicable diseases and or physical or psychological impairments that will affect my ability to undertake study and/or give and receive massage safely.

Police check*

I agree to a police background check

Cancellation And Refund Policy Acceptance*

NZCM reserves the right to cancel any course, at no notice, due low enrolment numbers. In the case of NZCM cancelling a course, students who have paid in full will be contacted and given an option of alternate dates (if possible) or a full refund of any monies paid. A full refund of any monies paid will be provided for Cancellation of Registration by students upto 24 hours prior to course start. No refund of any monies paid will be provided for Canellation of Registration by students within 24 hours of the course start or for students who fail to attend for any reason.

How did you hear about us*