Application Form


Application Form

PERSONAL DETAILS
HEALTH INFORMATION

The following questions are here to help us to provide each participant with the nessesary means to make the program more beneficiable. The answer to these questions will be kept in strict confidance

Are you currently taking medicines for any physical or psychological conditions

Do you have any chronic physical limitations or disabilities

Do you have a communicable disease

Have you had a serious illness or major surgery within the last five year

Are you currently pregnant or trying for pregnancy

You are required to pay a registration deposit to reserve your space.The balance fee should be paid upon arrival or before check out. We accept the initial Course Fee Registration deposit through Credit Cards, Paypal or Bank (wire) Transfers.

I agree with the Terms and Conditions