Course Enrolment Form

Please fill in the form to enrol on one of our courses and we will come back to you shortly to confirm your place.

Name *
Address *
Date of Birth
Date of Birth
Gender select *
diploma / core courses
Complementary Therapy Courses
Method of study:
Sports Massage Courses
Method of Study
How would you like to study A&P?
Anatomy & Physiology
Course Start Date
Course Start Date
A&P Classroom Start Date
A&P Classroom Start Date
If you have chosen to study A&P in the classroom, please select the start date for this (please note, this does not apply to students enrolling onto the Massage Diploma as the A&P is built into your classroom course days)
CPD/short courses
CPD Course Start Date
CPD Course Start Date
ie: Deep Tissue 12/4/2016, Pregnancy Massage 30/8/2016, Hot Stones Therapy 4/6/2016 etc
Please let us know your size, so we can order your tunic/polo shirt ready for your course!
Please note, if you would like to apply for additional time on exams, ITEC will require evidence. Please send this through to us separately via email.
Please note, if there is a pre-requisite to the course you would like to join, we will require copies of your Certificates. Please email them to us after submitting your enrolment form.
Please refer to our website and agree to our Terms and Conditions *
By checking the box on this form I confirm I have read and agree to The Cotswold Academy Terms and Conditions of Business. I also confirm that I will send a non-refundable deposit of 25% of the course fees to secure my place for any course that is 2 or more days in length. For 1 day courses, I agree to pay the full balance on return of receiving my invoice.
I am happy to be kept up to date with Weekly Student Support Meetings & Academy News *
We take your privacy very seriously and will NEVER share your details with any third party members. By checking this box, you agree that you are happy for us to add you to our mailing list to keep you up to date.

View our Terms and Conditions

You will receive an invoice and welcome pack shortly after submitting your enrolment. Please submit your payments by Bank Transfer within 3 days of receiving your invoice to secure your place.
Sort Code: 09-01-28  |  Account No: 06284597 (Your name as reference)

Or alternatively post a cheque payable to "The Cotswold Academy"  to:
The Cotswold Academy, 24 Thomas St, Cirencester, Glos, GL7 2BD


For further enquiries please contact us:

[email protected]

01285 885122