Please fill in this form in order to register an interest in the ImageWork training. Name (required) Email (required) Mobile number How did you hear about this course? (required) Profession and Education/Training/Experience (required) Are you applying for Module 1, The Fundamentals of ImageWork, or for the full course? (required) Module 1The full course What attracts you about this course? (required) What experience of ImageWork have you had, and have you read any of Dina Glouberman's books? (required) How do you hope to apply your learnings from the course? (required) What else would you like us to know about you? Is there anything you would like to add? If you think you may need a bursary in order to attend please email Lynnljones@btinternet.com.Please prove you are human by selecting the flag. Δ