BCI Registration Form

First Name*

Last Name*

Email *

Gender*

Address 1*

Address 2

City*

Province/State*

Postal Code / Zip Code*

Best Phone #*

Cell Phone #

Citizenship / Immigration Status*

Canadian Citizen

Canadian Permanent Resident

International Student

Last School Name*

Level/Program Completed*

Graduated?*

Yes Graduated

In Process

No

Graduation Date*

Other Education/Certificates

Your designation (check all that apply)*

Other Designation(s)

How did you hear about Bowen College? *

Which program are you interested in?*

Certified Bowen Health Therapist

Certified Bowen Health Therapist w/pre-requisites

Reboot Your Body Home Study Program

Advanced Course Workshops

Transfer Program

Which city would you prefer?

If you don't see your city, please indicate location you are interested in and/or location that best suites you. Classes are world wide so you are not limited in whee you attend a workshop.

I am financially responsible (whether payment plan or not) for everything I have purchased*

Yes Financial Responsible

I have read and accept with all Terms and Conditions*

Yes I have read and accept all Terms and Conditions Terms