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Enrollment form

Subconscious Frequency Academy

Course Enrollment Form

Your First Choice For Life Coaching, Public Speaking & NLP Training.

    Personal Details:

    Name: (required)

    Surname: (required)

    Company (If Relevant):

    Mobile Number: (required)

    Email: (required)

    Highest Grade Passed: (required)

    Highest Qualification Obtained: (required)

    Physical Address: (required)

    ID number: (required)

    Next of Kin: (required)

    Next of Kin number: (required)

    Course Information:

    Which course are you applying for?: (required)

    Are you clear about the course you are applying for?:

    What are your outcomes from the program? Where would you like to see yourself at the end of the program? (required)

    If everything was in your favour, what would you like to create for yourself? (required)

    What are some of the challenges you are facing that you would like to overcome? (required)

    What are some of your key areas of growth and development? (required)

    What is your prior experience with NLP? (required)

    How will you know when you have achieved this outcome? What will you see, hear, or feel? (required)

    Anything else you would like to share? (required)

    Referred by : (required)

    Do you require more information about the course?:

    Course Start date:

    Course Campus:

    Campus: (required)

    Payment Method:


    Payment Plan: (skip this section for cash payment)

    All the information provided herewith are true, correct and complete. I have not withheld any information likely to affect my application and I agree with all the terms and conditions for my selections above.

    Attach your ID to confirm your bookings. (pdf or jpg only) (required)

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