Register

Registration

Thank you for your interest in learning Thai Massage with Wild Lotus!
Please fill out this form to complete your registration!
Or if you are interested in registering please fill out the form and we will be in touch shortly!

Registration Form

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Name *

First

Last

Email *

Phone Number *

Why do you want to learn Thai Massage? *

Which Program Would you like to attend? *

150 Program ( All levels) - Mahone Bay Level 1 - Mahone Bay, NS -$$595 Level 1 & 2a- Mahone Bay, NS - $1200

Please tell us a bit about yourself! The name you would like on the certificate and if you would like to be connected to others to share accommodations thanks! *

Do you have disabilities or injuries that you would like your instructor to be aware off?? *

To complete your registration, payment in full or a deposit is required and signed training agreement form. Please indicate your understanding below. We will email you with further details within 48 hours. *

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