New Student Registration
Which course are you signing up for (include date and location)?
Name
First Name
Last Name
Email
example@example.com
Phone Number
Why do you want to take this course?
Do you have any experience with Thai massage?
Do you have any injuries, allergies, or health difficulties that the instructors should know about?
Is there anything else you’d like me to know?
There is a 50% deposit due at the time of registration. You can submit this or choose to submit the full payment by clicking the "STEP 2 - Pay" button on the "Ready to enroll section" of our website. You can also pay through our venmo: @bodyworkneuromuscular
I understand that my spot will not be reserved until I submit at least half of the course cost. Once I have done so my name will be added to the roster and the remainder of the payment will be due on the day of the course.
We'd like to stay in touch with you! We promise to only send you emails regarding being a student of our classes, upcoming classes or information which will have value to you as a student.
Yes, I agree to be added to the email list and I understand I can unsubscribe at any time.
No, I do not want to be added to the mailing list.
DISCOUNT: Are you currently a student? Is there another discount that applies to you? Indicate discount below. (i.e. student, special, staff, etc...)
Submit
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