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Registration Form

Name

Email Address

Telephone number

Zip code

Address

Date of Training

Name of Training

Profession & Certifications

How did you learn about this course? (please be as specific as possible):

In order to provide hands-on therapy for pediatric clients you must possess a hands-on certification or license prior to providing touch therapy for pediatric clients. For example certification/license in massage therapy, physical therapy, nursing or as a physician. This course as a stand alone course, does not provide certification to provide hands-on therapy for pediatric clients. This is a continuing education course designed to expand your practice.

By signing this form it is acknowledged that you have read and understand our refund policy.

*Cancellation & Refund Policy
All course registrations must be accompanied by payment in full in order to confirm your space in the class. Class space is limited and reserved on a first-come, first-served basis.
In the case that you need to cancel your registration, please contact info@liddlekidz.jp.

Refunds requested by participants are only available according to the following policy:
 If notification is received by our office between 7 business days prior to the start of the class, the registration fee will be refunded minus a 20% processing fee.

 If notification is received by our office within 6 business days prior to the start date of the class, or you do not show up for the class, any and all registration fees paid will be retained in full.

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