Pre-registration of a learner

STAGE ATAMA (CRÂNIEN) - KOBIDO (LIFTING DU VISAGE) - from April 1, 2023 to April 2, 2023

Vous pouvez préinscrire un apprenant à la formation grâce à ce formulaire. Merci de rentrer un maximum d'informations pour simplifier le travail d'enregistrement. Vous pouvez laisser un message complémentaire dans la partie 'Notes libres'.

General information

Honorific

First name*

Last name* Email* Date of birth*

Birth name

Nationality*

City of birth*

Address*

Postcode*

City*

Country

Phone*

Secondary phone

Language in the Learners' Portal

Status

Company

Profession

Company name

Company registration number

Other

Free notes

Fields marked with * are mandatory.

The data collected in this form is processed by SAS ECOLE DE SHIATSU FUJI-TAISHAN TOULOUSE in order to manage your registration on the site. To find out more about the management of your personal data and to exercise your rights, we invite you to read our privacy policy