Online Course Registration Form
To be used in conjunction with online payments.
If you are not paying online, please print the PDF Registration Form fill in your details and mail with your payment.

Personal Details
First Name:
Last Name:
Phone:
Mobile:
 Street Address:
Town/City:
State:
Postcode:
Email:
Occupation:
Qualifications:
Previous Courses (If any):
Enrollment - I would like to enroll in
Discovering the Art of Effective Counselling
         
Bendigo February Intake April Intake July Intake October Intake
Ballarat February Intake April Intake July Intake October Intake
         
 
Diploma of Counselling Psychology
         
Bendigo Course 1 April Intake      
Bendigo Course 2 September Intake      
         
 
Diploma of Solution Oriented Hypnosis
         
Bendigo May Intake      
         
Payment Details
I Will Be Paying Via....
Online Mail      
Please note, if paying via cheque or money order, you can still pay online.
This feature lets us know we can expect your payment in the mail.
After submitting this form you will be redirected back to the online payments page
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