Course Application

Choose from:(*)
Please add a value for Course .

Please note: payment details sent automatically on the screen and also by email to you

For courses indicated with an asterisk '*'
please note this includes the cost of
the Anatomy & Physiology course as well.

Please indicate your choice of Weekend, Weekday, Evening
For the Anatomy & Physiology Distance Learning please tick any box, as the form won't work otherwise! .
Please add a value for .

* Exam Fees are included
* Discount on selected courses if fees paid two weeks before start
* Payment details will be sent to you upon receipt of this form
* Please check your Spam box in case the automated reply ends up there
Name (*)
Please add a value for .

Your Name


Your Phone Number


Your Mobile Number

Email (*)
is not a valid e-mail address.

Your Email address

must contain only 0-9,a-z,A-Z characters

Please enter your address, including post code.

Please enter your date of birth(*)
Invalid Input

Top Size


Top size required for therapy courses as students wear school logo polo which costs £10. Ladies please show e.g. 10, 12, 14, 16 etc, and Men please show S M L XL etc


Previous qualification in therapy. Any special consideration e.g. Dyslexia

Day preferred for Sports (Tuesdays or Thursdays)

Please send copy Diploma relevant to this course if necessary. Special consideration: If (for example) you have Dyslexia, please send relevant documentation of proof so that we and awarding body can take this into account


Please can you let me know where you saw us advertised?

Please add a value for .

Please indicate you have read and accept our terms and conditions.

Please add a value for .

Please indicate you have read and accept our privacy policy.