{"id":487,"date":"2022-08-02T02:09:57","date_gmt":"2022-08-02T11:39:57","guid":{"rendered":"http:\/\/ayurhealth.com.au\/blog\/?p=487"},"modified":"2022-08-02T02:09:58","modified_gmt":"2022-08-02T11:39:58","slug":"training-enrollment-form","status":"publish","type":"post","link":"https:\/\/ayurhealth.com.au\/blog\/training-enrollment-form\/","title":{"rendered":"Training Enrollment form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-485\"><form id=\"wpforms-form-485\" class=\"wpforms-validate wpforms-form\" data-formid=\"485\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/blog\/wp-json\/wp\/v2\/posts\/487\" data-token=\"cca4f94a132712c964c55e1fac2cc8c9\" data-token-time=\"1777839322\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-485-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-485-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-485-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-485-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-485-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-485-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_25\">Date of birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-485-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" required><div class=\"wpforms-field-description\">DD\/MM\/YYYY<\/div><\/div><div id=\"wpforms-485-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-485-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-485-field_21-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_21\">Contact Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-485-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" step=\"any\" required><\/div><div id=\"wpforms-485-field_23-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Please tick the course\/s you are interested in <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-485-field_23\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_3\" name=\"wpforms[fields][23][]\" value=\"Indian Head Massage - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_3\">Indian Head Massage &#8211; Half day program<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_1\" name=\"wpforms[fields][23][]\" value=\"Ayurveda Masssage Therapist - Full day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_1\">Ayurveda Masssage Therapist &#8211; Full day program<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_10\" name=\"wpforms[fields][23][]\" value=\"Ayurveda Therapeutic Masssage - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_10\">Ayurveda Therapeutic Masssage &#8211; Half day program<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_2\" name=\"wpforms[fields][23][]\" value=\"Lymphatic Drainage Massage - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_2\">Lymphatic Drainage Massage &#8211; Half day program<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_8\" name=\"wpforms[fields][23][]\" value=\"Ayurveda Massage Massage - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_8\">Ayurveda Massage Massage &#8211; Half day program<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_9\" name=\"wpforms[fields][23][]\" value=\"Sirodhara Massage Massage - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_9\">Sirodhara Massage Massage &#8211; Half day program<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_7\" name=\"wpforms[fields][23][]\" value=\"Healthy Cooking workshop - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_7\">Healthy Cooking workshop &#8211; Half day program<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_6\" name=\"wpforms[fields][23][]\" value=\"Marma Point Massage workshop - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_6\">Marma Point Massage workshop &#8211; Half day program<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_5\" name=\"wpforms[fields][23][]\" value=\"Gut Health and Healthy diet - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_5\">Gut Health and Healthy diet &#8211; Half day program<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_4\" name=\"wpforms[fields][23][]\" value=\"Fundamentals of Ayurveda - Half day program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_4\">Fundamentals of Ayurveda &#8211; Half day program<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_23_12\" name=\"wpforms[fields][23][]\" value=\"Skill development training for Ayurveda doctors and practitioners - 6 Weekends\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_23_12\">Skill development training for Ayurveda doctors and practitioners &#8211; 6 Weekends<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Select the course you paid for<\/div><\/div><div id=\"wpforms-485-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Do you have any special needs required to support your training. We support people with disability recieving our training. <\/label><ul id=\"wpforms-485-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-485-field_34_1\" name=\"wpforms[fields][34]\" value=\"Yes, Will be discussed with trainer prior to the commencement\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_34_1\">Yes, Will be discussed with trainer prior to the commencement<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-485-field_34_2\" name=\"wpforms[fields][34]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_34_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-485-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">How did you know about AyurHealth?<\/label><ul id=\"wpforms-485-field_8\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Word of mouth\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_8_1\">Word of mouth<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_8_2\" name=\"wpforms[fields][8][]\" value=\"Internet \/ Social media\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_8_2\">Internet \/ Social media<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_8_3\" name=\"wpforms[fields][8][]\" value=\"Practitioner referral\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_8_3\">Practitioner referral<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_8_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-485-field_19-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Informed Consent:     <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-485-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_1\" name=\"wpforms[fields][19][]\" value=\"I understand my physical and mental health is good to undergo the training.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_1\">I understand my physical and mental health is good to undergo the training.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_2\" name=\"wpforms[fields][19][]\" value=\"I have viewed\/discussed and confirmed the trainer qualifications. \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_2\">I have viewed\/discussed and confirmed the trainer qualifications.<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_8\" name=\"wpforms[fields][19][]\" value=\"The basic outline of training and venue will be asked and explained prior to commencement.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_8\">The basic outline of training and venue will be asked and explained prior to commencement.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_3\" name=\"wpforms[fields][19][]\" value=\"I know I should make full payment prior to the commencement and cannot be refunded if I commenced the training.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_3\">I know I should make full payment prior to the commencement and cannot be refunded if I commenced the training.<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_7\" name=\"wpforms[fields][19][]\" value=\"I will complete the assessment required satisfactorily to recieve the certificate.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_7\">I will complete the assessment required satisfactorily to recieve the certificate.<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_6\" name=\"wpforms[fields][19][]\" value=\"The courses offered at Ayur Health are government unaccredited and no fee support from the government.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_6\">The courses offered at Ayur Health are government unaccredited and no fee support from the government.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-485-field_19_5\" name=\"wpforms[fields][19][]\" value=\"The skills I learned to improve my existing practice \/ business and expand my scope.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_19_5\">The skills I learned to improve my existing practice \/ business and expand my scope.<\/label><\/li><\/ul><\/div><div id=\"wpforms-485-field_27-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Do you agree with the above information? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-485-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-485-field_27_1\" name=\"wpforms[fields][27]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_27_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-485-field_27_2\" name=\"wpforms[fields][27]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-485-field_27_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">You may contact 0470 169 933 and clarify if you have any disagreement. <\/div><\/div><div id=\"wpforms-485-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_28\">Electronic Signature (write FULL NAME) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-485-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/div><div id=\"wpforms-485-field_26-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_26\">Date of the training at Ayur Health<\/label><input type=\"text\" id=\"wpforms-485-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><div class=\"wpforms-field-description\">If there are multiple sessions, provide first session date. If you are not sure, leave it blank<\/div><\/div><div id=\"wpforms-485-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-485-field_29\">Date  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-485-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><div class=\"wpforms-field-description\">Date of the completion of this form<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-485-field-hp\" class=\"wpforms-field-label\">Comment<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-485-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"485\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/posts\/487\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-485\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-487","post","type-post","status-publish","format-standard","hentry","category-recipe"],"_links":{"self":[{"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/posts\/487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/comments?post=487"}],"version-history":[{"count":1,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/posts\/487\/revisions"}],"predecessor-version":[{"id":488,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/posts\/487\/revisions\/488"}],"wp:attachment":[{"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/media?parent=487"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/categories?post=487"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ayurhealth.com.au\/blog\/wp-json\/wp\/v2\/tags?post=487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}