The International Academy of Vibrational Therapies

Registration form for 2010 intensive Program for

30724QLDCertificate IV in Vibrational Therapies & 30725QLDDiploma of Metaphysics

Melbourne October 2010

(Please print your name clearly as you would like it on your certificate)

Name: __________________________________________________________________________

Address: ________________________________________________________________________

___________________________________________________ Post Code: ___________________

Phone/Fax: ___________________________ E-mail: ________________________________

* Do you have any disabilities or health issues? All information is collected in accordance with the Privacy Policy.

Please specify: No _____Yes _____________________________________________________________

How did you hear about us?____________________________________________________

You may choose one or all of the following subjects. Please indicate which you would like to register for.

SUBJECTS	Dates: OCT please tick 	# of Days	Please select courses required	Costs
Beginners Crystal Therapy: Course includes 2 accredited subjects Chakras, Energy Centres and Subtle Bodies	11th 12th 13th	3	please tick 	$395
Intermediate Crystal Therapy: course includes 2 accredited subjects Guided Meditation for Vibrational Therapies	14th 15th	2	please tick 	$350
Advanced Crystal Therapy & Basic counselling skills How to use the power of the crystal laser wands How to set out case studies course includes 2 accredited subjects	16th 17th	2	please tick 	$395
Completion of crystal therapy workshops	18th	Free day
Past life Regression Therapy This course is for the soul purpose of freeing us from the issues that hold us back from the now. course includes 2 accredited subjects Learn how to set goals for yourself and others	19th 20th 21st	3	please tick 	$550
Free Day	22nd
Reiki 1 Completion of Certificate 1V workshops	23rd	1	please tick 	$295
Colour Therapy: This course can not be taken as a one off subject.	Dates to be arranged	1	please tick 	$590
Reiki 11: No sooner than 3 months after Reiki 1	24th	1	please tick 	$495

Please make all cheques/money orders payable to Weinberger Holdings Pty Ltd.
Credit Card details (American Express and Diners not accepted)

Credit Card number: ________________________________________ Expiry Date __________Amount_________

Times: 9:30am to 3-30pm. Place: 33A Glenlyon Road, Brunswick, Vic 3056

Refund Policy
Where the applicant has paid the fees for the course and wishes to cancel, a full refund of the fees will be made up to five (5) days prior to the commencement of the course. After this date, refunds will be made if requested less 10% to cover the cost of administration. Where the cancellation is made after the commencement of the course for reasons beyond the control of the participant, they will be offered the opportunity of completing the course at the next available course. If this is not possible, a pro-rata refund will be made. Where we cancel a course, and an alternative course does not suite the applicant, a full refund of the fees will be made. Please wear comfortable clothes and bring a healthy lunch. Refreshments will be provided. I look forward to seeing you. Dianne

I accept the terms and conditions of enrolment. Signed: ………………………………………Date……………………