Registration form

Given the numerous abuses in the field of the teaching of Lymphatic Drainage and in accordance with Dr. Vodder's wishes, we have decided to ask to everyone of our registering students to read and accept the hereunder engagement. We thank them in advance for their understanding.

By the fact of my present course registration, I take the formal engagement to not teach Lymphatic Drainage in any way whatsoever : seminars, courses, handbooks, audio- or videocassettes, internet etc..., without having duly received a specific training and without being writtenly authorised by a directly Dr. Vodder's agreed instructor.

 

Name :               

First name :        

Profession :        

Address :           

City :                 

Zip Code :         

Country :           

Phone :             

Email address :  

 

I hereby register to   :

An initiation day    2006

Basic Course - 1st session   2006

Basic Course - 2d session   2006

Therapy Course - 3th session - dates to be decided with the group

Therapy Course - 4th session - dates to be decided with the group 

Re-registration to an initiation day already attended :  2006
      NB : Re-registration to an initiation day is free. 

Re-registration to an already attended session :  2006

An individual study or revision session with Mrs. Selosse 
     (I'll call 021 312 75 12 for an appointment) 

My suggestions (optional) :

My questions or my special requirements (optional)  :

  

On reception of your registration form, you will receive by email
the payment methods indications.  

If you are encountering a difficulty, fell free to tell me :

evelyneselosse@urbanet.ch

 

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