Registration Form

2025 NCSMC Registration Form

NCSMC will be held 16 & 17 March 2025. This event will be held at the Drury Inn & Suites Arrowood located at 8925 Red Oak Blvd. in Charlotte, NC. The schedule is TBA. Clinical Massage All inclusive Package dates are 12-15 March 2025. All Rules and Regulations are on our website: thencsmc.com. For more information, email us at office@thencsmc.com or visit our website at thencsmc.com. Registration will stay open until 16 March 2025 @ 7am (championship) & 12 March 2025 for package deal. Late registration or at the door registration will not receive an event bag or t-shirt. 1st Place Overall Winner will receive a FREE entry into the American Massage Championship & World Massage Festival. In 2025, AMC & WMF will take place in Las Vegas, NV.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email *
example@example.com
Phone Number*
Please enter a valid phone number.
T-Shirt Size*
Late Registration does not include an Official NCSMC T-SHIRT
Drivers License Number*
Documentation must be uploaded below
Tell us how you heard about us? Referred by? *
For a complete list of categories with specific details go to ncmassagechampionship.com under the RULES tab
Massage Insurance Carrier or Professional liability Insurance *
Documentation must be uploaded below
Massage Therapy Licenses Number or AESTHETICS Licenses Number*
Documentation must be uploaded below. Suspended or revoked massage therapy licenses are not accepted. Massage therapy license must be in good standing with NC or your licensed state at the time of completion.
First Category *
If you choose student category that is the only one you can compete in! $100 for 1 category.
Second Category (optional)*
To add a second category, there is an additional $50 fee.
Third Category (optional)*
To add a 3rd category, there is an additional $50 fee.
FOR STUDENT CATEGORY ONLY! Professional Licensed Massage Therapist, skip this section by writing N/A
STUDENT CATEGORY ONLY. What NC Massage Therapy School are you attending or just graduated from? Write N/A if you are a professional licensed massage therapist. *
STUDENT CATEGORY ONLY! Upload your massage therapy diploma or certificate OR a letter from your massage teacher stating you are enrolled at the school on school letter head.

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Check all that apply*

I am a NC State Resident (must match with driver’s license)I hold a valid massage therapy license in the state of NCI hold a massage therapy malpractice insuranceI do not live in NC but hold a massage therapy licenses or certification in another stateI am a student actively enrolled in a NC massage therapy schoolI recently graduated, within the last 3 months, from a NC massage therapy schoolI hold a NC Aesthetic licenses
Upload your Drivers Licenses OR Valid I.D. *

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Upload your State Massage Therapy Licenses or Credentials below*

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Upload your Massage Insurance Policy*

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Professional Photo. (To be used on social media, advertisements, website, etc)*

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Are you mentally, physically, and spiritually able to give and receive massage therapy from another professional or student of massage? Please state any and ALL sensitivities, allergies, medical conditions, medications, and/or surgeries within the last 2 years. (Failure to disclose any conditions or information that may be a contraindication to massage, may result in personal injury. If this happens, it will release the championship and the therapist working on you from any liability.) *
Name of your business*
Clickable links to website, or any social media page*
Bio Time! Tell us about you! Here are some questions to help you get started. Have you competed at other Championships? If so, did you medal? What massage school did you attend? What year did you graduate? What guided you into this industry? Do you have any awards or certificates in massage therapy? Written any articles or studies that have been published? Is this you first or second career? What are your favorite modalities? This helps us promote you and your business. *
Would you be interested in taking: Tok Sen class with Jill Burynski or Bowen Therapy with Michelle Lally
Clinical massage All-inclusive Package ONLY!! Choose your preferred room choice. 2 queens or 1 king. State your arrival date and departure date. Additional nights needed will be at an additional fee. Type N/A if not purchasing the package.
*Disclaimer: we will try to accommodate all requests, however, it is at the hotel discretion.
I understand I am giving consent to be videotaped, photographed, and to be on any social media lives during the preliminary, finals, and award ceremony. This is to include CE classes and/or lectures or meetings involved with NCSMC. To have anyone else besides the NCSMC team members, I must give them written consent. NCSMC team members will be clearly labeled. (Disclaimer: These materials will be used as marketing tools for NCSMC)*

I understand and agree to this statement
By submitting this application, I am stating that I have read NCSMC’s Rules and Regulations and agree to comply with them at all times. I understand that violating the rules could result in verbal correction from the judges and/or the Director, up to and including possible expulsion from the event.**

I understand and agree to this statement
I understand that all fees are NON-REFUNDABLE.*

I understand and agree to this statement
Would you like to receive updates and newsletters from NCSMC?*
By signing below, you have read, understand, and agree to the rules and regulations of NCSMC. Fees are NON-REFUNDABLE

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My Products

MEDICAL MASSAGE ALL-INCLUSIVE PACKAGE Product Image

MEDICAL MASSAGE ALL-INCLUSIVE PACKAGECe class with hotel room package

$1,270.00 Quantity

Professional Category FeeThis is for the first category. To enter, up to 2 additional category, please check the ADDITIONAL CATEGORY FEE BOX

$150.00 Quantity
Item subtotal:$0.00

Additional Category FeeTo pay for the additional categories.

$50.00 Quantity
Item subtotal:$0.00

Free Bowen session 10 min Use this link to sign up. https://www.bowsagetherapy.com/service-page/ncsmc-2025-free-bowen-experience

$ Free

Student Category FeeMust be actively enrolled in a NC massage therapy school OR recently graduated, within the last 3 months from a NC massage therapy school

$50.00 Quantity
Item subtotal:$0.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

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2025 NCSMC Registration Form

FOR STUDENT CATEGORY ONLY! Professional Licensed Massage Therapist, skip this section by writing N/A