Course Registration

Oncology Massage Module 1 - Townsville (QLD)

5th March to 7th March 2021
At the Karmness Centre, 5/28 French St, Pimlico QLD 4812 - Facilitator to be advised

All - first name? *:
All - middle name(s)? :
All - last name? *:
All - your preferred contact phone number including country or area codes? *:
All - your preferred contact email address? *:
All - your preferred postal address? *:
All - the name and telephone contact details for your emergency contact or next of kin? *:
All - do you have any pre-existing medical conditions (eg, dyslexia, low hearing) or other personal attributes (eg, English as a Second Language) that may limit your learning experience?If yes, what are they? *:
All - have you previously attempted to complete this Course? If so, when where and with who? *:
All bar OM1 - do you belong to a professional association(s)? If so, which one(s)? :
All bar OM1 - what recognised professional qualifications do you have in this field? :
All bar OM1 - what other qualifications do you have? :
All bar OM1 - are you currently working as a professional tactile therapist? If so, please briefly explain your circumstances? Are you treating clients in frail health, especially those with a diagnosis or history of cancer? *:
All - are you a competent communicator in a language other than English? If so which ones? :
All - are you able to bring your own massage table? If not, are you prepared to incur a small fee if tables need to be hired? *:

Qualifications * :

Non Massage Qualifications:

How did you hear about this program?:


Your Payment: Pay Full Amount or Depost (min $50)

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