I certify that the information I have provided above are true to the best of my knowledge without any malice or any intention to commit acts of misrepresentation.

I am aware that any false, misleading, or deceptive information provided may lead to withdrawal, expulsion, or any disciplinary action which may be dealt with by the school's authorities.

NOTE:  This form must be accompanied by:  a $120 school application fee, a 1-page “hand-written” essay about why you want to become a massage therapist; and a written recommendation from a health/fitness professional.

Please be aware that dates and times of classes are subject to change, depending on enrollment.  Prospective students are advised to file this application as soon as possible.  Classes are limited in size and enrollment is closed when classes are filled.

 “In connection with my application, I understand that a consumer report containing public record information may be requested.  This report may include the following types of information: names and dates of previous employers, credit information, bankruptcy proceedings, and other relevant information from federal, state and agencies both public and private.  No charge is made to me to obtain this report.”

Your signature below indicates that the following information on the application is true and accurate to the best of your knowledge.