OMT Registration

Registration for Orthopedic Massage Certification Course

Attention: Registration is a 2-step process

Step 1: Submit Registration
Step 2: Submit Payment

You will receive confirmation and further instructions via email.

Thank you for registering.

For more information contact Tom Karis.

View calendar for details about up-coming course offerings.

Step 1: Submit Registration

Contact Information

* Indicates required field

Name *

First

Last

Email *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Course Selection

Course Location *

Course Registration *

For specific dates see Calendar.

Qualifications

Massage School Attended *

School's Location *

Certificate Earned? *

Yes No

If Yes, Date of Graduation *

Upload Copy of Graduation Certificate, if applicable *

Max file size: 20MB

Are You licensed? *

Yes No

If Yes, In What State? *

If Yes, Upload Copy of License *

Max file size: 20MB

Other Relevant Training *

Upload Other Relevant Training Certificates, if applicable *

Max file size: 20MB

Additional Relevant Training Certificates, if applicable *

Max file size: 20MB

Comments for the Instructor *

Terms and Agreement

This program is a certification program. Application and payment does not guarantee certification. Certification is achieved for each section of the program through full attendance and obtaining a passing average on a written exam. Applicants must pay in full before attending any part of the course. Applicants must give 14 calendar days prior notice for cancellation to receive full refund of tuition. Cancellation less than 14 days will result in tuition refund less a $300 charge. Cancellation on the part of the Provider (Tom Karis) will result in the applicant’s choice of a full tuition refund or transfer to a future program date.

The submission of my digital signature below constitutes consent regarding the above statement.

Electronic Signature *

First

Last

Submit

Now, proceed to Step 2: Submit Payment.