Kite Booking Form

Your Name and E-mail address - we require this information

Your name:

Your E-mail address:

Personal information

My full name:

I like to be called:

My date of birth

My occupation

My employer

Contact information

My address (please include your country):

My phone number:

My mobile number

The course I want to attend

Diploma - March 2011 in Brazil

Practitioner part 1 - March 2011 in Brazil

Diploma - July 2011 in Brittany

Practitioner - August 2011 in Brittany

More about you

My experience of NLP is:

What convinced me to enrol is:

What I want out of this course is:

Who I am (tell us about yourself and your interests):

I am fit and well and able to participate fully (please tell us about any exceptions here):

Paying my deposit

Please contact us to talk about the best way to pay for your course.