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Welcome to the school for people with healing hands. Please complete this form.

Email *

Option 1

Full Legal First, Middle and Last Name *

Phone number where we can reach you. *

What is your full permanent address with zip code and apartment number (if applicable) *

You must be over the age of 18 to enroll in one of our programs. Do you meet this requirement? *

Yes

You must have a high school diploma or GED to enroll in one of our programs. Do you meet this requirement? *

Yes

Have you attended college, university, or technical school and received academic credit for any Health related courses such as Anatomy, Physiology? (You may qualify for a tuition discount with transcripts. Bring those to your school tour). *

Yes

How did you hear about Rejuvenate School of Massage Therapy? *

Friend or Family

Internet Search

Radio or Local Publication

Other:

Which massage program are you interested in completing? *

Massage Fundamentals Program

Massage Mastery Program (TX Licensing Exam Reimbursement Available)

Not sure, I need more information.

Which schedule would you like to attend? *

Evening & Weekend Schedule ( Class meets on Tues. + Wed. 6-9pm & Sat. + Sun. 10am-4pm)

Weekday Mornings ( Class meets on Mon. - Thurs. 9:30am-1:30pm)

Online Lecture Courses *

I understand the program is approximately 40% online and 60% in person.

Get the school catalog HERE *

Done! I understand the catalog and information contained herein may have been updated and or changedchanged from the time of publication.

Required

Send me a copy of my responses.

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