Please enable JavaScript in your browser to complete this form.EKAA Integrated Clinical Hypnotherapy Association All About You Wellness Centre REGISTRATION FORM Course: Level 1 – Basic Course in Integrated Clinical Hypnotherapy Below information is mandatory for Registration to be processed. Please upload Proof of Age / Identity / Residence. (e.g. Election Card, Passport Copy, Driving License)File UploadName : *FirstLastName As Should Appear On Certificate:Mobile :AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail: *Date of Birth:Occupation:In case of a new address, kindly fill in the same below: Are you interested in receiving emails from EKAA and All About You about future courses? *YES, I am interested in receiving mailers / smses from EKAA about future coursesNO, I am not interested in receiving mailers / smses from EKAA about future courses I confirm that I am over 18 years of age and choose to attend this workshop on of my own free will. I agree that all practices done on, for, or even by me at All About You during the workshop is done with my full consent and at my will. I confirm that I have no mental / psychological ailment / disorder and am not on any psychiatric / psychological treatment/s and/or drug/s. I agree to indemnify, release, remise and forever discharge, the treating facilitator, AAY, its employees, its consultants, its property owners or anyone one at AAY from any obligation or liability whatsoever, all claims, demands, damages, injuries, actions or causes of actions whatsoever, before, during or after volunteering to participate in such sessions. I have read and understood the aims and objectives of the course curriculum. I am aware of the modalities of therapy used is integrated clinical hypnotherapy, and the primary function of the workshop is to gain knowledge and understanding on this modality. I also understand that the result of any practice session within the workshop can also depend on external factors and the clients’ own efforts. I understand that completion of all workshops conducted by EKAA and being certified after the final step are meant to enhance my competency as a practicing Integrated Clinical Hypnotherapist and by no means endorses that I am a medical doctor/practitioner. I give consent to document/record my session in demonstrations (if any) and use the same as a part of the teaching module and / or research work in this field. I have not been debarred / advised not to continue with attending this level of EKAA curriculum whether verbally or in writing. I understand that I stand to forfeit my fees completely if I violate any of the terms and conditions of this disclaimer. I confirm that all the details provided by me on the form are true to the best of my knowledge. I confirm that I have read and understood the terms and conditions and adhere by the same. Please type your name to confirm all the information above. This will serve as your e-Signature.Date Signed:If you have any questions, please reach out to us via email at info@allaboutyoucentre.com or call us on +852 2995 0828. Office Address: All About You Centre 10A, Wing Cheong Commercial Building, 19-25 Jervois Street, Sheung WanSubmit