Professional Massage Training Registration Form

PERSONAL INFORMATION

Name

First Name

Last Name

Address

Occupation

Phone

(###)

###

####

Date of Birth

YYYY

Emergency Contact Name

Emergency Contact Phone Number

How did you hear about this massage training?

HEALTH INFORMATION

Do you have any medical conditions or physical limitations that we should be aware of?

Yes

If yes, please specify:

TRAINING INFORMATION

Location: Ravenbrook Yurt, Connie Road, Sooke, BC. (This is a private property - the full address will be provided upon registration). This training includes: - Four days of in-person instruction. You will learn to provide a full-body professional treatment from start to finish, including client communication, space setup, basic anatomy, massage and draping techniques, body mechanics, and more. All equipment is provided, including massage tables, sheets, workbooks, and pens. Light snacks and tea will be available. - Two hours of at-home practice and notes. You are expected to perform two full treatment sessions on your own time and report back to your instructor. Ideally, these sessions should be done with different practice clients/friends/family. Your instructor will be available for ongoing mentorship via phone or email during this practice period. - A dynamic, educational flow that balances science and intuition. The foundational content is suitable for participants with little to no massage training. - A certificate of completion upon successful completion of the program.

Why are you interested in this training?

Do you have any special requests or hopes for this training?

Current experience with massage/bodywork, or in the wellness field (if any)? Are you certified in other modalities? Do you give/receive bodywork?

Please select which 2025 training you would like to join.

July 18-21

October 3-6

PAYMENT INFORMATION

The investment for this training is $888 CAD. To secure your spot (limited to 8 students), a non-refundable deposit of $100 CAD is required. The remaining balance is due no later than one week before your training start date. Payments can be made via e-transfer to: massagewithkrystel@gmail.com. If you require a payment plan or have any questions about payment, please contact us.

TERMS AND CONDITIONS

- Confidentiality: All personal and health information provided will be kept strictly confidential. - Liability Release: By signing below, you acknowledge and agree to release Massage with Krystel from any and all liability, past, present, and future, arising from or related to your participation in this training. - Confirmation: Your spot in the training will be confirmed once your registration form and deposit have been received and reviewed. You will receive a confirmation email with the training address and details. - Cancellation: If you are unable to attend the training, please contact massagewithkrystel@gmail.com as soon as possible. The $100 CAD deposit is non-refundable.

Signature

By typing my full name below, I acknowledge that I have read, understand, and agree to the above terms and conditions.

Date

YYYY

We are thrilled to have you join our training! To proceed, please complete the form below. Any questions or concerns can be directed to massagewithkrystel@gmail.com.

Professional Massage Training Registration Form

Holistic Body Therapy

Holistic
Body
Therapy