Course Registration

Oncology Massage Module 1 - Cairns (QLD)

13th March to 15th March 2021
At the COUCH Wellness Centre with a Course 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 bar OM1 - do you belong to a professional association(s)? If so, which one(s)? *:
All - against which diseases are you currently vaccinated? *:
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?:

Price:

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

*NOTE: Please click here for more information on payments or cancellations

Validation * :


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