Table Thai Massage Training Registration Form
Balance Body Network is offering Table Thai Massage training for those who are eager to add more modalities to their services. ONLY 12 SPOTS AVAILABLE!!! SIGN UP NOW TO SAVE YOUR SPOT!!!

Your completed registration form and payment must be submitted before the day of the class.

DATE:
Monday, April 18, 2019

TIME:
9:30am – 3:30pm (1 hour lunch break. Lunch is provided.)

FEE:
$100/person if registered by March 26, 2019
$125/person if registered after March 26, 2019

LOCATION:
The Church of Messiah
231 E. Grand Blvd, Detroit MI 48207
(we will be in the gymnasium, upstairs through the main entrance)

BRING:
Massage Table
Lotion/Oil (preferably unscented)
A Set of Sheets
Socks
Slippers (optional)

Please note that this is not the traditional Thai Massage or what is sometimes known as "lazy yoga massage". Subjects being massaged are going to be undressed and lotion will be used. This is a beginners class. All therapists, please wear yoga pants/leggings and loosely fitted shirts/polo. Make sure the shirt fully covers your chest area and long enough to cover all skin when you bend over. Please wash your feet and wear fresh socks on the day of the class. Wear closed-toe shoes and bring slippers if you like. This class does not offer any CE's nor is it affiliated with any Thai Massage School. The Instructor is her own entity and is teaching the class according to her own experience and practices. This Table Thai Massage training has been modified according to her studies, experiences and knowledge.

Balance Body Network LLC
1001 Woodward, Suite 500, Detroit MI 48226
248-938-0230

Name *
First and last name
Your answer
Email *
Your answer
Phone number *
Your answer
Address *
Your answer
Occupation
Your answer
Age
Your answer
Are you a Licensed Massage Therapist? *
Do you have any previous massage training?
List any medical conditions/medications. If none, answer N/A. *
Your answer
Emergency Contact Full name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Please list any food allergies or food restrictions.
Your answer
How would you like to pay for the class? Please click the link or copy the CashTag after the option to pay for the class. Please contact Balance Body Network if you are going to pay in cash. Submit the form after you have paid. If payment is not received, your registration form will be incomplete and we will not save a space for you. *
By selecting "Yes" I agree that everything I supply on this form is true to my knowledge. I understand that this is a NON-REFUNDABLE class. If some unforeseen event occurs and I do not make it to the class, I forfeit my payment to Balance Body Network LLC. If I arrive late or leave early, I do not get any money back for the time I did not spend in the class. (Refunds will only be issued on the condition that the class has been cancelled by Balance Body Network, LLC.) Transfer to another participant is allowed. Rules are on www.balancebodynetwork.com . *
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