REGISTRATION FORM Tutor: Jane Sheehan I am excited that you wish to join the EMMETT for HUMANS training programme. Class sizes are limited so register early for the best chance of obtaining a place! First name (required) Last name (required) Email Address (required) Mobile Number (required) Which course are you interested in registering for? (required) —Please choose an option—Human WorkshopFoot Care WorkshopModule 1&2Module 3Module 4Module 5Module 6Module 6 Review and Client Clinic DayAdvanced EP1Advanced EP2Advanced EP3Advanced EP4Advanced EP5Advanced EP6EP Practitioner Day (EP3)Advanced LymphaticsPelvic CarePractitioner Day - Upper Body M1-6Practitioner Day - Lower Body M1-6Human Workshop Tutor Training Choose Course Start Date (required) Course Location (required) HOME ADDRESS DETAILS House Name/Number (required) Road/Street (required) Please leave this field empty. Town/City/Village (required) County (required) Postcode (required) Country (required) Where did you hear of this course? (required) Are you repeating this course? (required) YesNo If Yes, what was the date of the course and the instructor's name Can you bring a massage table? (required) YesNo Please let us know if you have any other questions Course Fees Please click link for current course fees: EMMETT UK & Ireland Course Fees. Cancellation Policy Please click link for the full policy: Refund and Cancellation Policy. Privacy Policy and T&Cs HQ and UK & Ireland Please refer to www.emmett-uk.co.uk/ for the full UK & Ireland Privacy Policy. Privacy Statement UK & Ireland: (Tick to give your permission) Please refer to www.emmett-technique-hq.com for the full HQ Privacy Policy. Privacy Statement HQ: (Tick to give your permission) Please refer to www.emmett-uk.co.uk/ for the full UK & Ireland T&C. Terms and Conditions UK & Ireland: (Tick to give your permission) Please refer to www.emmett-technique-hq.com for the full HQ T&C. Terms and Conditions HQ: (Tick to give your permission) I understand that by supplying my contact details I give my permission for the course instructor to pass my contact details to EMMETT Technique UK and Ireland (ETUK) and EMMETT Technique Head Office so that I can be kept informed of important EMMETT Technique information. I understand I can request my details to be deleted at any time.