DIANE
PIETTE - KINESIOLOGY
TOUCH FOR
HEALTH COURSES
APPLICATION
FORM
TFH
Level 1:
31 January /1st February 2009
TFH Level
2: 14/15 March 2009
TFH Level
3: 25/26 April 2009
TFH Level
4: 6/7 June 2009
Venue: Dronfield / Sheffield
Cost: £190 per level
£95 for those repeating the
course.
£690 if 4 levels
paid before 2nd of January 2009
Workbook and certificate included.
Student worksheet book not included (£25) but not compulsory
Meals not included.
PLEASE PRINT OUT, FILL IN AND SEND TO :
Diane Piette,
70 Fanshaw Road, Dronfield/Sheffield S18
2LB
Tel 01246 410 737
http://www.dianepiette.co.uk
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Course Level: ____________________________________
Date _____________________________
Name: ____________________________________________________________________________________
Address: ____________________________________________________________________________________
____________________________________________________________________________________
Tel. __________________________________ mob. ______________________________________
E-Mail: _________________________________________________________________________
Payment (deposit £
50 non refundable) Cheque __________________________________________
Cheques payable to “ Diane
Piette” {please do not post cash}
Payment 2 weeks before course date
Signed ____________________________________
Date
__________________________