The Hand Academy - Application form

Application form

Please fill in the form below. After the application we will be in touch with confirmation and invoice details.

First name *

Last Name *

Gender

F

M

X

OT/PT

OT

PT

DOB

Address *

Zipcode *

City *

Country *

E-mailadres *

Number of years in Hand Therapy

Comments, Questions or Suggestions

Terms & Conditions *

I agree to the terms and Conditions.

Anti spam *

1 + 3 =

Phone

Courselocation Amsterdam

See our location page for more info about the course location at BCN Amsterdam Arena.

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