New Intro to Massage Therapy Weekend Workshop

Vancouver College of Massage Therapy

3rd Floor (#300), 1050 West Pender Street,
Vancouver, BC, V6E 3S7

Please indicate the date of the Massage Therapy workshop you wish to attend:

First Name

Middle Name

Last Name

Street

City

State/Province

Zip/Postcode

Home Phone

Cell Phone

Will you be under the age of 19 years by the time you plan to start as a student at VCMT?

Yes No Not Selected

Please note that applicants under the age of 19 will require a signature from their parent or legal guardian on the student contract

How did you hear about VCMT?

What is your interest in Massage and Hydrotherapy?

Signature

Date

VCMT
300-1050 West Pender Street
Vancouver, BC V6E 3S7

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