Utah Massage Championship Registration Form

2027 Utah Massage Championship Registration Form
Tuesday - Thursday | March 30th - April 1st

Salt Lake City, Utah
Participant Information

Please fill name and contact information.
Name

First NameMiddle NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
By submitting this registration form, I am stating that I have read the Utah Massage Championship Rules and agree to comply with them at all times. I understand that violating the rules could result in a verbal correction from the judges and/or the Director, up to and including the possibility of expulsion from the event.
By submitting this registration form, I am stating that I understand that my registration fee is NON-REFUNDABLE. I furthermore agree to abide by the rules of the championship (which can be found on the UMC website) and any requests made with in reason by the Utah Massage Championship Staff.
By submitting this registration form, I also agree that the classes, preliminary rounds, the final, and the award ceremony will be recorded and used by the Utah Massage Championship for future marketing on social media and my image or video recordings may be used as well. Participating in the Utah Massage Championship allows the Utah Massage Championship to use my images and voice indefinitely for marketing and advertising purposes. (participant waiver for marketing)
Massage License Number
Upload your professional headshot

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Upload your liability insurance

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Do you have any allergies or medical conditions we should be aware of?
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Utah Massage Championship 1 Category
Utah LMT's only

$135.00



Utah Massage Championship 2 Categories
Utah LMT's only

$190.00



US Massage Super Cup 1 Category

$150.00



US Massage Super Cup 2 Categories
$225.00



Student Category: 1 Round
State level only for Utah LMT's

$75.00



Student Category: 2 Rounds
State level only for Utah LMT's

$110.00



Total

$0.00
Category 1
Category 2
Only if you paid for 2
The category/categories selected are my confirmed choice and understand I cannot change them later.
Signature
Payment Methods

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Contact Info

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2027 Utah Massage Championship Registration Form

Tuesday - Thursday | March 30th - April 1st

Participant Information

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Payment Methods