Please fill in all fields marked with a *
	Name	*
	Mailing Address	*
	Email address	*
	Phone number	*
	Date of birth	*
	Please list any qualifications or experience you have in animal care or complementary therapies	*
	Do you have animals of your own	*
	Please describe in brief why you want to do this course	*
	How did you hear about this course	*
	Please inform me of any prescription medicines you take	*
	Are you pregnant	Yes No *
	By which method would you like to pay	Bank Transfer Credit Card Paypal Cheque or international money order *
	In which currency do you want to pay	GB pounds sterling US dollars Euros *
	How do you want to pay	In full on registrations Installments *
	Do you want to do Level 2 as well	Yes No Maybe later *
	If yes which is your preferred location	EnglandUSAGreeceAustralia