Jeannie – Hypnotherapy and ThetaHealing® Specialist. Enrolment Form
Jeannie – Hypnotherapy and ThetaHealing® Specialist
Enrolment Form

A course deposit is to be paid with submission of this enrolment form. All deposits are non-refundable. The balance of course fees are paid either before or at the start of the first day of your class. We accept cash or direct deposit.

Please complete all options (We do not share your personal information):

Enrolment information
Full Name:
Town/ City:
State: Postcode/ Zip:
Phone Number: Mobile:

Morning and afternoon refreshments will be provided. Lunch is the responsibility of the student.
Please indicate if you require special assistance for class. Special Requirements (e.g. dietry or access):

Class times: registration
Classes are usually 9am to 5pm with one hour for lunch. The exception is your registration at beginning of class on the first day. On this day registration will commence at 8:30am.

Investment: course fees available on application
Please select class you are enrolling in (you can select more than one):

Course commencement date:

We accept: cash, direct deposit
Account: BSB 013 525 Account 5429 09913
Please ensure you include your name on payment form.
Deposit (non-refundable): $ Full/ balance course fees: $
Date deposited: