ASHA School of Massage
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ASHA School of Massage academy of somatic healing arts  
 
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  ASHA School of Massage
  7094 Peachtree Industrial Blvd
  Building 4
  Norcross, GA 30071
 
  Phone: 770.368.2661
  Fax: 404.633.1270
  Toll Free: 866.553.2661

 Accreditation Update
  ASHA School of Massage
  is an institution accredited
  by the Commission on
  Massage Therapy
  Accreditation (COMTA).

  For more information visit
  www.comta.org
 
Certified Massage Therapist Application

Please fill out the form below to apply for our CMT Program.

Personal Information
First Name:
Last Name:
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Gender:
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Are you a US Citizen or Legal resident?
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How did you hear about us?
If you indicate other please specify:

  *Requested in Compliance with the Veterans Administration

Application for ASHA Certified Massage Therapist Program
 Day Schedule:
06/07/2008   Summer Day
09/12/2008   Fall Day
01/19/2008   Winter Day
 Night Schedule:
06/07/2008   Summer Night
09/13/2008   Fall Night

 Weekend Schedule:
08/02/2008   Summer Weekend
   
 
 
Date indicates start date of program.
 
Program Terms and Conditions
During the course of the ASHA Training Program, I understand that I will be expected to participate fully in all course work and activities, including giving and receiving massage. I realize that I am participating in personal and professional growth classes that are not necessarily psychotherapeutic in nature but are focused on my relationship with my client and my personal attitude toward touch, massage, emotions, and success. I understand that work done within the program may have psychological, physical, or emotional effects and, if so, it is my responsibility to limit my degree of participation and inform others of such aspects. I realize that in the conduct of the training program, ASHA takes every reasonable precaution for the safety of all participants. However, ASHA cannot be responsible for the problems, medical or otherwise, of any individual in the program. I have responded truthfully to all of the inquiries made of me on this application.
I have read, understand and agree to the terms and conditions.
 
By submitting this application you agree to a non-refundable $50 application fee. Please provide your credit card information below.
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ASHA School of Massage

ASHA School of Massage
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