Enrollment Form

Please use this form to enroll for a course.

We contact you very swiftly to confirm your enrollment.

For any question, do not hesitate to contact us, by email, or direct call (phone, whatsapp, skype)

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Your name

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Your date of birth (optionnal)

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Your place of birth (optionnal)

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What is your motivation to enroll

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Medical and nutritive information (optionnal

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Remarks or questions :

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I read and agree the enrollment conditions

Thank you to confirm my enrollment. Please send me the practical information and the information for the payement.

Thanks to accept these two conditions

Pour vous inscrire via un smartphone, merci de nous envoyer un email via e bouton ci-dessous ou de consulter cette page via un ordinateur pour accéder au formulaire d'inscription.

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Enrollment

Enrollment Form

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Center for Body Therapies