AHA Annual Consultant & Instructor Registration Form

Name*

First Name Last/Family Name

Email*

Contact Number*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

First Aid Certificate*

(ONLY for practising and/or teaching in New Zealand.)

Yes - I have a current First Aid Certificate
No - I will attend a First Aid class
Not applicable - not practising and/or teaching in New Zealand

Date: (When are you going to attend First Aid Certificate?)*

First Aid Certificate Expires:*

Professional Liability Insurance Cover (Recommended)*

Yes - I have current Professional Liability Insurance(s) cover
No - I choose not to have Professional Liability Insurance(s) cover

Professional Liability Insurance expires:*

My Academy of Healing Arts Consultant & Instructor Registration(s):*

I am the following Certified and Registered:

Colour for Life Consultant & Instructor
Soul Power Kinesiology Consultant & Instructor
NZITFHK Touch for Health Instructor

Date of Completing My Latest AHA Consultant & Instructor Update or Training Workshop*

Requirement: Attend a 1/2-day AHA Update once every year with either the Faculty or an Instructor Trainer from Academy of Healing Arts.

Listing My Profile on AHA Website*

Note: If you require your profile to be listed or updated on the Academy of Healing Arts website, please email your details along with your recent photo to Academy of Healing Arts at office@aha.org.nz

Yes - I give my permission to have my details and profile listed on the Academy of Healing Arts website
No

Privacy Consent*

For more information, please visit the Privacy Policy of the Academy Healing of Arts (AHA)

Yes - I give consent for my data collected and stored by the Academy of Healing Arts and agree to the Academy of Healing Arts' Privacy Policy.
No

Other comments or enquiries

Academy of Healing Arts Annual Instructor & Consultant Registration Fee*

Price:

Total Cost

$ 0.00

You will be forwarded to PayPal to pay by credit card. You do NOT need a PayPal account.

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Academy Of Healing Arts

Annual Consultant & Instructor Registration Form