AHA Annual Professional Subscription Form

Name*

First Name Last/Family Name

Email*

Contact Number*

First Aid Certificate*

Yes - I have a current First Aid Certificate
No - I will attend a First Aid class

Date to Obtain First Aid Certificate

My First Aid Certificate Expiry Date

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

Expiry date of My Professional Liability Insurance

My Academy of Healing Arts Professional Qualifications*

I am the following Certified and Registered:

AHA Soul Power BASIC Instructor (Levels 1-3)
AHA Soul Power ADVANCED Instructor (Levels 4-6)
AHA Colour For Life Instructor (Levels 1-3)
NZITFHK Touch for Health Instructor

Date of Attending My Latest AHA Instructor Update or Instructor Training*

Requirement : Attend AHA Instructor Update every 3 years with Academy of Healing Arts Faculty or Instructor Trainer

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 The Academy of Healing Arts

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 AHA and agree to the AHA's Privacy Policy
No

Other comments or enquiries

AHA Annual Professional Subscription Fee*

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Academy Of Healing Arts

Annual Professional Subscription Form