IAIM Training in Ireland - Application Form | Forty Weeks with Kirsty Hawthorn

Infant Massage Training Course Application

Infant Massage Training Course Application

I am applying to attend the Infant Massage Training on:

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email

Phone

Occupation

Place of Work

Qualifications

Any other relevant information e.g. disabilities/special needs?

Please describe your experience of baby massage, if any.

Please describe your experience working with mother and babies.

If being a Baby Massage Instructor will not be part of your present employment, how do you envisage using it?

What benefit do you expect to derive from this course?

What, if any, experience do you have of being massaged?

Please describe relevant interests & experience, e.g. massage complementary therapy, dance, yoga, meditation, etc.

What do you do for relaxation and fitness?

How did you hear of IAIM training? Please specify who, where or other

Reference

Referee - someone (not a relative) who knows you for more than three years.

First Name

Last Name

Occupation

Place of Work

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country