Saturday 7th & Sunday 8th March 2020*
THE JURYS INN - FRY STREET, MIDDLESBROUGH TS1 1JH
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address 2
Town
City
Post Code
Please Select
Afghanistan
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Algeria
American Samoa
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Namibia
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Poland
Portugal
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Republic of the Congo
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Russia
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Saint Barthelemy
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Saint Kitts and Nevis
Saint Lucia
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Saint Vincent and the Grenadines
Samoa
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Sao Tome and Principe
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Senegal
Serbia
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eSwatini
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Tajikistan
Tanzania
Thailand
Timor-Leste
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Tunisia
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Western Sahara
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Zambia
Zimbabwe
Other
Country
E-mail
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Home Telephone Number
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Mobile Telephone Number
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Age
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How did you hear about us?
current occupation
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Have you trained in hypnosis before?
*
Yes
No
Do you have any mental health issues that you are currently aware of
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Yes
No
Please tell us why you would like to be considered for a free place
*
Are you available to attend this free training weekend on 7th & 8th March 2020?
*
YES
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