THE HYGEIA COLLEGE OF COLOUR THERAPY

NORTHERN CENTRE

4, Sunningdale Close, KIRKHAM, Lancs, PR4 2TG.

                  Tel. 01772 671128. Email: jeantone.greenslade@tesco.net                  .

APPLICATION FORM

(Please print out the form and mail to the above address)

To James Associates, 4, SUNNINGDALE CLOSE, KIRKHAM, PR4  2TG.

   I wish to attend the Preliminary Course / * Foundation Course No............................…

   Surname.............................................. Forenames................................................... ……….

   Address ……………………………………………………………………………………………….

   ………………………………………………………………………………………………………...

   ………………………………………………………………………………………………………….

   Post Code………………………………..   Country……………………………………………

  Telephone................................................…  Email: …………………………………………

  Previous Experience

  Qualifications etc

Further Information about yourself, including the purpose to which you intend to use the training you receive.  Continue overleaf if necessary.

Any special assistance you need from us.

Please send details of the course to: Email address