Be Activated Workshop EnrollmentPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastProfession *D.O.B *Date/Month/YearMobile *Email *Physical Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryYour previous Be Activated Training *NoneIntroductionFundamentals (Level 1)Beyond the Basics (Level 2)OtherPlease provide details of your previous BA TrainingGDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry. by Total Divider Section DividerRelease form ACKNOWLEDGEMENT OF RISK & RESPONSIBILITY Embarking upon a Be Activated course can be a transformational process which may result in serious life changes, tears, gnashing of teeth, and an occasional bruise. Because of the way of the world, we require that you read and sign this waiver before the course, so that we can begin our journey. The course or parts of the course may be recorded or photographed by Douglas Heels representatives and used for further promotions and or training. If you prefer not to be included in photographs or recordings, please let us know. The recording or filming of this course on your own electronic devices in not permitted. ________ I hereby understand and acknowledge that the techniques used on the course require a hands-on-approach and possible physical interaction with other course participants, and I accept the risks associated with the activities described. I acknowledge and accept that course participants come from different educational and professional backgrounds and bring with them varying levels of expertise. I agree that my participation on this course is voluntary and I fully accept that it is my responsibility to use and perform the techniques within the realms of my own professional expertise and within my legal obligations. I acknowledge that it is my sole responsibility to make known to the course director, information about illnesses, diseases or conditions that could have an impact upon my course experience. I hereby fully waive and release myself from any and all claims for personal injury that may results from my participation on this course. I furthermore agree that the content taught on this course is the intellectual property of Douglas Heel. I will only use the skills I was taught with my clients and/or groups of clients. I will under no circumstance use any of the content in training groups or individuals to perform these techniques on others than themselves. If I would ever plan to do any such training, both online or in person, I would consult directly with Douglas Heel and or Carel Wildenboer. I have read and understood the foregoing and acknowledge my consent to the terms of this Waiver and Assumption of Risk by signing this Waiver. The content on this online course is sold to be used by a single user only. The training videos may not be copied or shared with a second party. I have read and understood the foregoing and acknowledge my consent to the terms of this Waiver and Assumption of Risk by signing this Waiver. I have read and understood the foregoing and acknowledge my consent to the terms of this Waiver and Assumption of Risk by signing this Waiver. *YESNOACKNOWLEDGEMENT OF RISK & RESPONSIBILITY CONSENTFull Name *ACKNOWLEDGEMENT OF RISK & RESPONSIBILITY CONSENTSection DividerYour Chosen Course *ADVANCED SERIES | Melbourne | 2nd - 5th May 2026 | (AUD$) - $1,850.00Total Order Summary Item Quantity Qty Total There are no products selected. Your Chosen Course - ADVANCED SERIES | Melbourne | 2nd - 5th May 2026 | (AUD$)1$1,850.00Total$0.00 $0.00Stripe Card Payment *Make a Booking Stay up to date with our latest course updates and announcements FollowFollowFollow Copyright © 2026 Divi. All Rights Reserved.