World Massage Festival &
Massage Therapy Hall of Fame

August 7-10, 2016
Harrah's Resort Waterfront Conference Center
Atlantic City, New Jersey


Our Mission Statement: To honor those who built the bridges for our profession,
to educate the general public about massage, to educate therapists
about different types of massage and to have fun.





INSTRUCTOR INFO FORM

If you are interested in being an instructor at a World Massage Festival™,
please complete the form below and
we will contact you with details.


PLEASE NOTE that most classes at the WMF must be NCBTMB-approved!

Your Name:
Your Company:
Email:**REQUIRED**
Mailing Address:
City, State & Zip:
Your Biography:

Class Name & # of CEs:
Course Description:

Supplies therapists need
to bring to class:

Class Name & # of CEs:
Course Description:

Supplies therapists need
to bring to class:

Class Name & # of CEs:
Course Description:

Supplies therapists need
to bring to class:

Class Name & # of CEs:
Course Description:

Supplies therapists need
to bring to class:

Office/Home Phone:
Cell Phone:
Email:
Years of Teaching:
1-3 4-6 7-10 Over 10
Approved Provider For:
NCBTMB - Provider #
States:

Other:
Comments & Questions:



All classes must be NCBTMB-approved. It is the responsibility of the speaker/teacher to contact the CE Brokering Agent of each state where therapists are licensed and make arrangements for their workshop classes to be acceptable.
The Festival will provide each speaker/teacher with a list of therapists who attend their classes.


World Massage Festival * festival@worldmassagefestival.com * 336-957-8807

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