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Essences student registration form
Questions marked by * are required.
1.	Your Name: *
2.	Your E-mail Address: *
3.	Your address *
4.	Your phone number *
5.	Course and details (part/full time, correspondence/home study, diploma/degree level) and which year of study you are in. *
6.	Administrative phone no for course *
7.	Administrative address for course. *
8.	Which Essences are taught as part of your course? *
9.	If you are currently taking cases, are you using essences for them? which ones?
10.	If you are not yet taking cases, when do you expect to start?
11.	What is it about Essences that attracts you?