Name *

First Name

Last Name

Phone *

Country

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday *

MM

DD

YYYY

Terms and conditions. By submitting this form you agree to all of the following condition: *

I take full responsibility for any injuries or accidents that may occur. I will not hold BALANCE or any of the teaching staff responsible for injuries or other medical problems that might occur.

Terms and conditions. By submitting this form you agree to all of the following condition: *

I understand that a positive, team-oriented attitude is a requirement for all attendees. Disruptive, rude, or negative behaviour will not be tolerated and may result in removal from the course.

Terms and conditions. By submitting this form you agree to all of the following condition: *

I understand that group meals cannot be custom ordered to fit personal needs or requirements simply because personal dietary preferences and needs vary so greatly. If I have specific nutritional needs, I understand I need to make arrangements myself.

Terms and conditions. By submitting this form you agree to all of the following condition: *

I understand that my deposit is non-refundable. Additionally, tuition payments are non-refundable within six (6) months of training start date.

Terms and conditions. By submitting this form you agree to all of the following condition: *

I understand that I may be included in content captured during this program and I give permission for any such content to be used in perpetuity by BALANCE and its members for any purpose whatsoever.