Page 1 of 1

ENROLMENT FORM

Personal Information

Full Name

Date of Birth

Email Address

Phone Number

Address

Emergency Contact Name

Emergency Contact Phone Number

Relationship to You

Course Selection

All Courses are 20 HOURS TOTAL: 5 hrs Pre-Course Study + 15 hrs Hands-On Workshop

Please tick the course(s) you are enrolling in:

Thai Massage: A Complete Guide (20 Hours)

Ultimate Guide to Assisted Stretching Therapy (20 Hours)

Unlock Fascia: Introduction to Myofascial Massage (20 Hours)

Advanced Healing Massage I: Massagel Integration (20 Hours)

Advanced Healing Massage II: Musculoskeletal Protocols (20 Hours)

Other Course

Preferred Training Format

Workshop Fees:
Hands-On Workshop (Group): $550
Live Interactive Online Training: $550
Private 1-on-1 Training: $750
Customised Intensive Course 1-on-1: $1000
Office Syndrome Relief Workshop (3 Hours): $150
Head, Neck & Shoulder Massage (2.5 Hours): $125

Hands-On Workshop (Group)

Live Interactive Online (via Google Meet)

Private (one on one)

Customised Intensive Course (One-on-One)

Office Syndrome Relief Workshop (3 Hours)

Head, Neck & Shoulder Massage (2.5 Hours)

Preferred Start Date

Health & Consent Declaration

Do you have any medical conditions or injuries we should be aware of?

Yes – Please specify:

Confirmations

You can review our full policies here.

Untitled checkboxes field

I confirm I am physically able to participate in massage training activities.

I agree to follow all safety, hygiene, and respectful conduct policies.

I understand the course fees and refund policy.

Signature

Date

Payment Method

Untitled multiple choice field

Bank Transfer (Pijika Chinnahanha, T/A Body Solutions Massage Training SA, BSB: 085005 Acc: 903819738)

Credit/Debit Card