Application Form

Unless specified otherwise, all fields are required.
First Name:
Last Name:
Title: Other:
E-mail:
Business Name (optional):
ABN (optional):
Telephone:
Mobile:
Fax (optional):
Street Address:
Town:
State:
Post code:
Tick professional qualifications
in any of the following

yoga
pilates
massage
tai chi
reflexology
other:

Name and address of
primary school(s) where qualified:
List relevant qualifications and dates:
Qualification Year
Name of insurer:
Public liability limit: $
Geographic areas available to work in:
Times available for work:
We communicate with our practitioners via a monthly email newsletter and text messages to mobiles. Please tick if you DO NOT want us to communicate like this: Do not send email news and txt messages.
Our practitioners wear branded T-shirts. Please tick your size: Male    Female
S   M   L   XL

Do you have a website? To help increase your and our ratings in the search engines, would you like to do reciprocal links? Please add a link to our site on your site, and let us know your web address. Website address (optional):
Where did you hear about us? Please tick all relevant categories. Internet search
Link from another website
Advert in a magazine
Please specify:
Friend
Telemarketing
Leaflet
Conference / Seminar
Other
Please specify:
Type Verification Image:
 


 

 
News And Offers

Click here to receive our monthly newsletter, full of stress beating tips, news and offers.
Information Sheets

Want to print out some A4, one page sheets?
Click here to download pages
with summary information
and / or posters to advertise classes.