AHA Annual Professional Subscription Form

Name*

Name entered here will be used by Academy of Healing Arts for communication purpose

First Name Last/Family Name

Email*

Email address entered here will be used by Academy of Healing Arts for communication purpose

Contact Number*

Phone or Mobile number entered here will be used by Academy of Healing Arts for communication purpose

First Aid Certificate*

Do you have a current First Aid Certificate?

Yes - I have a current First Aid Certificate
No

First Aid Certificate Expiry Date

Your First Aid Certificate will expire on

Professional Liability Insurance Cover*

Do have a current Professional Liability Insurance cover?

Yes - I have current Professional Liability Insurance(s) cover
No

Details of your Professional Liability Insurance*

Please enter name of your insurance company/ies and expiry date of your professional liability insurance(s).
If you don't have a professional liability insurance cover, please enter 'N/A'

Academy of Healing Arts Professional Qualifications*

Please tick your Academy of Healing Arts professional qualification/s applied to you.
Notes:
- Continuing Education hours required for your qualification/s.
- The Instructor Continuing Education can be used as your Consultant or Practitioner update requirements that year.

Soul Power Kinesiology Consultant - 16 hours update training annually
Colour for Life Consultant - 16 hours update training annually
AHA Certified Colour Therapy and Kinesiology Practitioner - 16 hours update training annually
Soul Power Kinesiology Instructor - 16 hours update training every 3 years
Colour for Life Instructor - 16 hours update training every 3 years
Touch for Health Instructor - 16 hours update training every 3 years

Continuing Education Details

Enter your Continuing Education details in the box below.
*Please include the following details:
Course Dates / Name of Course / Instructor or Training Organisation / Course Hours

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*

AHA Annual Professional Subscription Fee for 2021-2022 is $70.

Price: NZ$ 70.00

Total Cost

NZ$ 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 Professional Subscription Form

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