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  • South Bay Massage College
    • SBMC -Mission
    • SBMC Approvals
    • SBMC-Events >
      • COMMUNITY EVENTS
  • About SBMC
    • SBMC Campus
    • Student Code of Conduct
    • Visit SBMC >
      • Graduate Testimonials
      • Classroom
    • Why SBMC?
    • SBMC Benefits
    • SBMC Admin & Faculty
    • FAQs
  • State Disclosures
    • Annual Reports
    • Catalog
    • Fact Sheets
  • SBMC Admission
    • Application
    • Tuition Options
    • Foreign/Voc Rehab
    • Scholarship Information
  • SBMC Curriculum
    • Massage Technican Class Schedule
    • Sports Rehab/Therapy Program
    • Exercise/Fitness Training Program
    • Continuing Education
    • Electives & Advanced Courses Descriptions
    • Employment Opportunities
  • Spa Massage Info
    • Internship Spa Info
    • Spa History
    • Spa Policy
  • Massage Facts & Resources
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Massage Technician Application

SOUTH BAY MASSAGE COLLEGE Confidential Application for Admission
 (Include a $75.00 registration fee with application) - High School or College Diplomas required  & Government Issued Identification!
south_bay_massage_college_application.doc
File Size: 27 kb
File Type: doc
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CLASS TITLE: _________________________             START DATE: ________________

 

Name_____________________________________________________________
                 Last Name                                               First Name

Home Address  Street____________________________________ City_________________________State_______Zip___________

Phone ______________________________________________                           
                 
Home                            Work


E-mail Address ___________________________________  
Birth Date _______________________                               Gender (circle):  Male or Female  
Occupation___________________________________  
Employment _______________________________________________________________________________
                    Name of Company                   Street                           City                       State             Zip

Education History (attach a copy of diploma if you have it) Highest Grade Completed __________ Degrees _________________________________________________________________________________

Which Program are you interested in? 200 hours or 500 hours, other ____________________________________ 

Health List any major existing physical conditions: ________________________________   Are you currently taking medications? ______________________________________________________________________________________________________________
In case of emergency, call ________________________________________________________________
                                                        Name               Relationship              Phone
Course Information What are your goals in taking this course? ________________________________________
What prior experience (if any) do you have relating to massage? _______________________________________

Where did you hear about SBMC? (Circle)   Beach Reporter   Easy Reader   Sign   Net
Former student    Friend     Other _________________________

Declaration I understand that that $75.00 application fee is non-refundable.________(initials)

 - I declare under penalty that the above information is true and correct. 

_________________________________________________________________________________
Signature                                                                                             Date

120 South Sepulveda Blvd, Suite B Manhattan Beach, CA 90266 
School:
310-546-8774 | Student SPA: 310-546-8811
 www.SouthBayMassageCollege.com. All rights reserved.  | PRIVACY POLICY @2019

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