Pacific NW Massage Open & Expo Registration

PNW Massage Championship, Showcase & Expo - Use this form if you intend to also be a competitor in the PNW Massage Open. If you don't intend to compete please return to the website and go to the page titled "Showcase & Expo".

October 13-15, 2023 at the Pacific NW Massage Showcase & Expo located in the Embassy Suites by Hilton Portland Airport. The PNW Massage Open Championship is for therapists from The Pacific NW to join in the spirit of Collaborative Competition and showcase your approach to massage and bodywork! We look forward to seeing you in October.
Contestant Information: Please make sure your name here matches the name on your identification, license and liability insurance. You may use the nickname field if there is a different name you would like us to call you and to appear on your name tag.
Full Name*

First NameLast Name
Nickname
Nickname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Professional License Information: Please provide information about your professional relationship to massage and license information.
License Type*
State Issued*
License Number*
License Expiration Date*

MonthDayYear
Upload License Copy

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How did you hear about this event?*
Massage/Hands-on Liability Insurance Required:
Proof of Insurance must include "PNWMCAE" and "Embassy Suites by Hilton Portland Airport" as "Additional Insured". You may submit your current coverage sheet for the purpose of registation approval however we must receive proof of "additional insured" prior to the event. Failure to provide will result in removal from the championship and forfeiture of all fees.
Insurance Provider*
Expiration Date*

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Date
Upload Proof of Liability Insurance*

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Championship Information: Championship registration is $295 and includes participation in the competition, Friday Meet and Greet Networking, Building Bridges Collaborative Conversations (2CE) & Soundbath, Saturday Experiential Expo & Awards Dinner, and Sunday "Strengthening YOU in the Massage CommUnity" classes (9 CE).
Championship Registration - ($295 registration Fee)*

I would like to compete in the 1st Annual PNW Massage Open Championship and participate in the Pacific NW Massage Showcase & Expo
Friday Evening Events and CE: The meet and greet is open to all competition participants, their guests, and those staying at the hotel that are affiliated with Pacific NW Massage Showcase & Expo. The Collaborative Conversations Roundtable (2 CE) and Energetic Tune-Up Soundbath are included in your registration fee.
Please check all sections you plan to attend.

Meet and Greet: 4-6pm"Building Bridges - Collaborative Conversations in Massage" (2CE): 6-8pmEnergetic Tune-Up Soundbath: 8:15-9:15pm
Sunday CE "Strengthening YOU in the Massage CommUnity": Sunday's 9 hours of CE are included in your Championship registration. Sunday's CE are structured to provide the absolute biggest bang for your buck! The day will be filled with tremendous content and variety to increase your passion and build your business. If you would like more information on the classes below you can find it on the schedule page on the website. Please select all sessions you plan on attending.
Please check all sections you plan to attend. If you will not be attending select the first option only.*

I will not be attending Sunday CE"Balancing the Wheel - Six Approaches to Ethical Decision Making" (3 Ethics CE) 8am - 11am"Increasing Passion & Longevity in Massage" (1CE) 11am -12pm"Welcoming ALL Bodies - Into to Cultural Competency/Health Equity in Massage" (2 Cultural Competency/Health Equity CE) 1:30pm - 3:30pm"Intro to the Grief Protocol™ - restore balance to you and your clients" (1CE) 3:30 - 4:30pm"I.Y.A.C.? - What you need to know about protecting you and your business" (2 Business/Ethics CE) 4:30pm - 6:30pm
Award Dinner Preferences: Saturday's Awards Dinner is included in your registration. Please select all the acceptable menu options below. This information gives the event basic information on participant needs for planning purposes. Your selections here influence our decision process but does not lock you into menu choices. Final meal selections will be made closer to the event. Contestants may bring a guest to the Awards Dinner for an additional fee of $60. Please make appropriate selections below.
Contestant Menu Preference. Select all that apply.*

VeganVegetarianBeefFishChickenGluten Free Required
Awards Dinner Guest. (additional $60 fee required)*

NoneDinner Guest
Guest Menu Preference. Select all that apply.*

N/AVeganVegetarianBeefFishChickenGluten Free Required
Embassy Suites Lodging: Our room block is limited so please book your rooms A.S.A.P. *BOOK HERE NOW*
I plan on staying at the Embassy Suites by Hilton Portland Airport*

Only FridayOnly SaturdayBoth Friday and SaturdayI will not be staying at the hotel.Other
Understandings and Agreements: This agreement contains the entire understanding between Pacific NW Showcase & Expo and the Contestant.
Payment and Final Acceptance: Upon submission of this registration form PNWMCAE will review your application. Once your completed registration form and payment have been received and approved, your space will be reserved. You will then receive confirmation of your approval and a request to submit your headshot and bio. Congratulations on taking this step and we look forward to seeing you in October!
Applicant Signature*

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PNW Massage Championship, Showcase & Expo - Use this form if you intend to also be a competitor in the PNW Massage Open. If you don't intend to compete please return to the website and go to the page titled "Showcase & Expo".