Specialized course GYROTONIC® Principles Applied to DTS Registration Name* . . Address* . Email* Mobile Phone*Studio Affiliation Studio Website Studio Address . Studio PhoneSELECT THE SPECIFIC COURSES YOU ARE REGISTERING FOR:Select Course* GYROTONIC® Principles Applied to Dynamic Trunk Stabilization (DTS) April 29-May 1, 2020 Studio fee required to reserve your spot $350.00 AU. $350 USD payable to Rita Renha on the first day of the course. Please note all studio fees are non-refundable after payment. There are 12 spaces only available for this course so book ASAP to avoid missing out. If you are registering for both the GYROTONIC® certification course and this course please make your total studio fee $600.00 instead of $700.00. Save $100.00 AUD for registering for both courses.ENTER PAYMENT AMOUNT BASED ON YOUR SELECTION ABOVE:*SELECT PAYMENT METHOD : (Payment must be received to confirm registration)* CHEQUE: Made payable to Energy Kinetics® Instructor Training, Studio A 2 Percy St, Prahran, VIC, 3181 BANK TRANSFER - Enter Transaction number below:ANZ Middle Brighton Branch, 54 Church St, Brighton, VIC, 3186. Account Name: Energy Kinetics® Instructor TrainingSwift code: ANZBAU3MBSB: 013355Account No.: 497427519 Bank Transfer Transaction Number/Cheque Number:All Deposits are non-refundable and non-transferableTerms and Agreements*I understand that I alone am responsible for any accidents that occur or injuries that may be sustained in any work I may do as a part of my training at Energy Kinetics® and that neither Energy Kinetics® nor any of its employees will be held liable for any such injuries or accidents. Check this box to acknowledge you have read and completely understand the statement above and its contents. CAPTCHAComplete the security ‘CAPTCHA’ field above before clicking SUBMIT.EmailThis field is for validation purposes and should be left unchanged.