Application Form

Name:
Mailing Address:
City:
Postal Code:
Home Phone Number:
Work Phone Number:
Fax Number:
Cell Number:
E-mail address:
How did you learn about our school?

What life and work experience have you had that will help you in a career in massage therapy?

Today's date:
Date of birth (mm/dd/yy):
Last school grade completed:
Where did you attend high school?
What post-secondary training have you had? Please list.

You need good health and fitness to work in massage. Do you understand the physical demands of a massage career and feel prepared to meet them?
Yes No
When do you want to attend tutorials?
Once a Month? (3 days: Fri-Sun) Once a Week? (dates TBA)
Starting when?
September 2008 February 2009
Which location?
Edmonton Calgary

If you are already an RMT, you may be able to challenge our first-year exam, and enter second year to update your assessment and treatment skills. Do you want us to call you about this?
Yes No

Note: Bold fields are required