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KINDRED SPIRITS
SCHOOL OF MASSAGE
APPLICATION
NAME__________________________________________
MAILING ADDRESS________________________________
_______________________________________________
E-MAIL_________________________________________
PHONE#________________________________________
CELL#__________________________________________
DATE YOU CAN START______________________________
OCCUPATION_____________________________________
PREVIOUS TRAINING_______________________________
(ICE) IN CASE OF EMERGENCY
CONTACT________________________________________
ALL PHONE #'S____________________________________
ADDRESS_________________________________________
________________________________________________
PLEASE KEEP ME INFORMED OF WHEN YOU WOULD LIKE TO ATTEND
CLASS.
MY CLASSES ARE SMALL FOR A REASON. WHEN I RECEIVE YOUR
APPLICATION AND PAYMENT IN FULL, ONLY THAN I RESERVE AND
CONFIRM A SPACE FOR YOU.
I LOOK FORWARD TO MEETING YOU AND SHARING THE THERAPEUTIC
EXPERIENCE.
THANK YOU
~SANDRA
COURSE AND COSTS
____Level "BASIC" for BODYWORK & MASSAGE TRAINING
................$1,200
____Level "PRACTITIONER" for BODYWORK & MASSAGE TRAINING
................. $1,200
____Level "ADVANCED" for BODYWORK &MASSAGE TRAINING
.................$1,200
____Level " PROFESSIONAL" for BODYWORK & MASSAGE TRAINING
................. $1,200
AND OFFERING
____ Level "BASIC" for MYO~OSTEO OCEAN MOTION MASSAGE
................$750
____Level "PRACTITIONER" for MYO~OSTEO OCEAN MOTION MASSAG
................. $750
____Level "ADVANCED" for MYO~OSTEO OCEAN MOTION MASSAGE
.................$750
____Level " PROFESSIONAL" for MYO~OSTEO OCEAN MOTION
MASSAGE
................. $750
CHECK THE BOX(S) FOR THE COURSE(S) THAT YOU ARE APPLYING FOR
YOU MAY PAY FOR EACH COURSE INDIVIDUALLY OR ALL LEVELS AT
ONCE. ALL COURSE'S INCLUDE BOOKS THAT ARE RETURNED AT THE
END OF THE CLASS.
TOTAL IS DUE ON OR BEFORE THE FIRST DAY OF EACH LEVEL. YOU
MAY PAY BY CASHIER CHECK MADE OUT TO "KINDRED SPIRITS" OR
VISA/MASTERCARD
I DO NOT ACCEPT PERSONAL CHECKS
AMOUNT PAID$_______________________
CREDIT CARD INFORMATION
VISA / MASTERCARD
CARD#_________________________________________
EXPIRATION DATE________________________________
TOTAL AMOUNT TO BE CHARGE TO CARD$______________
PRINT
NAME AS IT APPEARS ON CARD_______________________
CARD HOLDERS SIGNATURE_________________________
BILLING ADDRESS_________________________________
STATE, ZIP CODE__________________________________
CONSENT AGREEMENT
PLEASE SIGN BELOW IF YOU GIVE CONSENT & PERMISSION TO HAVE A
PHOTO TAKEN OF YOU OR YOU IN THE CLASS YOU ATTEND.
SIGNATURE___________________________
DISCLAIMER
THERE IS NO INAPPROPRIATE TOUCH TAUGHT OR PRACTICED AT
KINDRED SPIRITS. TECHNIQUES ARE ALL WELL KNOWN AS
THERAPEUTIC AND NOT MISTAKEN AS EROTICA. ALL TECHNIQUES
TAUGHT AT KINDRED SPIRITS ARE PROPER FOR PRACTICE AND
PROFESSIONAL FOR HEALTH MAINTENANCE PURPOSES. THE
EMPHASES OF MY COURSE IS KNOWLEDGE OF ANATOMY &
PHYSIOLOGY, HANDS ON PRACTICE OF MASSAGE AND BODYWORK
WITH A GOOD SENSE OF UNDERSTANDING THE BUSINESS ASPECT.
THIS IS A POSITIVE LEARNING ENVIRONMENT FOR THE BODY AND
THE MIND. COME TO HAVE A WONDERFUL LEARNING EXPERIENCE
AND HAVE TIME TO EXPLORE THE WORLD OF MASSAGE UNDER
SUPERVISION. ALL STUDENTS MUST KNOW IF THEY ARE FREE OF
STD'S AND ARE HEALTHY ENOUGH TO PUSH, BEND, PULL AND STAND.
I LOOK FORWARD TO SEEING YOU. PLEASE SIGN BELOW, THIS WILL
CONFIRM THAT YOU HAVE READ THE LETTER ENTIRETY, YOU
EXCEPT THE REQUIREMENTS AND ARE WILLING TO ATTEND THIS
COURSE UNDER THESE CONDITIONS. YOUR SIGNATURE HERE
INDICATES YOU UNDERSTAND THE COURSE IS NON-REFUNDABLE
ONCE YOU HAVE RECEIVED THE BOOKS. [IN HEALTH OR EMERGENCES
YOU WILL HAVE THE OPPORTUNITY TO PICK UP AN ALTERNATE DATE
TO ATTEND WITHIN A NINE MONTH PERIOD AFTER THE ORIGINAL
DATE .]
PRINT NAME___________________________
SIGNATURE____________________________
TODAY'S DATE_________________________
CONTACT SANDRA GALBRAITH CEO
(907) 479-6707
E-MAIL myoosteo@yahoo.com
KINDRED SPIRITS
P.O.BOX 80782
FAIRBANKS, AK
99708-0782
SCHOOL OF MASSAGE
APPLICATION
NAME__________________________________________
MAILING ADDRESS________________________________
_______________________________________________
E-MAIL_________________________________________
PHONE#________________________________________
CELL#__________________________________________
DATE YOU CAN START______________________________
OCCUPATION_____________________________________
PREVIOUS TRAINING_______________________________
(ICE) IN CASE OF EMERGENCY
CONTACT________________________________________
ALL PHONE #'S____________________________________
ADDRESS_________________________________________
________________________________________________
PLEASE KEEP ME INFORMED OF WHEN YOU WOULD LIKE TO ATTEND
CLASS.
MY CLASSES ARE SMALL FOR A REASON. WHEN I RECEIVE YOUR
APPLICATION AND PAYMENT IN FULL, ONLY THAN I RESERVE AND
CONFIRM A SPACE FOR YOU.
I LOOK FORWARD TO MEETING YOU AND SHARING THE THERAPEUTIC
EXPERIENCE.
THANK YOU
~SANDRA
COURSE AND COSTS
____Level "BASIC" for BODYWORK & MASSAGE TRAINING
................$1,200
____Level "PRACTITIONER" for BODYWORK & MASSAGE TRAINING
................. $1,200
____Level "ADVANCED" for BODYWORK &MASSAGE TRAINING
.................$1,200
____Level " PROFESSIONAL" for BODYWORK & MASSAGE TRAINING
................. $1,200
AND OFFERING
____ Level "BASIC" for MYO~OSTEO OCEAN MOTION MASSAGE
................$750
____Level "PRACTITIONER" for MYO~OSTEO OCEAN MOTION MASSAG
................. $750
____Level "ADVANCED" for MYO~OSTEO OCEAN MOTION MASSAGE
.................$750
____Level " PROFESSIONAL" for MYO~OSTEO OCEAN MOTION
MASSAGE
................. $750
CHECK THE BOX(S) FOR THE COURSE(S) THAT YOU ARE APPLYING FOR
YOU MAY PAY FOR EACH COURSE INDIVIDUALLY OR ALL LEVELS AT
ONCE. ALL COURSE'S INCLUDE BOOKS THAT ARE RETURNED AT THE
END OF THE CLASS.
TOTAL IS DUE ON OR BEFORE THE FIRST DAY OF EACH LEVEL. YOU
MAY PAY BY CASHIER CHECK MADE OUT TO "KINDRED SPIRITS" OR
VISA/MASTERCARD
I DO NOT ACCEPT PERSONAL CHECKS
AMOUNT PAID$_______________________
CREDIT CARD INFORMATION
VISA / MASTERCARD
CARD#_________________________________________
EXPIRATION DATE________________________________
TOTAL AMOUNT TO BE CHARGE TO CARD$______________
NAME AS IT APPEARS ON CARD_______________________
CARD HOLDERS SIGNATURE_________________________
BILLING ADDRESS_________________________________
STATE, ZIP CODE__________________________________
CONSENT AGREEMENT
PLEASE SIGN BELOW IF YOU GIVE CONSENT & PERMISSION TO HAVE A
PHOTO TAKEN OF YOU OR YOU IN THE CLASS YOU ATTEND.
SIGNATURE___________________________
DISCLAIMER
THERE IS NO INAPPROPRIATE TOUCH TAUGHT OR PRACTICED AT
KINDRED SPIRITS. TECHNIQUES ARE ALL WELL KNOWN AS
THERAPEUTIC AND NOT MISTAKEN AS EROTICA. ALL TECHNIQUES
TAUGHT AT KINDRED SPIRITS ARE PROPER FOR PRACTICE AND
PROFESSIONAL FOR HEALTH MAINTENANCE PURPOSES. THE
EMPHASES OF MY COURSE IS KNOWLEDGE OF ANATOMY &
PHYSIOLOGY, HANDS ON PRACTICE OF MASSAGE AND BODYWORK
WITH A GOOD SENSE OF UNDERSTANDING THE BUSINESS ASPECT.
THIS IS A POSITIVE LEARNING ENVIRONMENT FOR THE BODY AND
THE MIND. COME TO HAVE A WONDERFUL LEARNING EXPERIENCE
AND HAVE TIME TO EXPLORE THE WORLD OF MASSAGE UNDER
SUPERVISION. ALL STUDENTS MUST KNOW IF THEY ARE FREE OF
STD'S AND ARE HEALTHY ENOUGH TO PUSH, BEND, PULL AND STAND.
I LOOK FORWARD TO SEEING YOU. PLEASE SIGN BELOW, THIS WILL
CONFIRM THAT YOU HAVE READ THE LETTER ENTIRETY, YOU
EXCEPT THE REQUIREMENTS AND ARE WILLING TO ATTEND THIS
COURSE UNDER THESE CONDITIONS. YOUR SIGNATURE HERE
INDICATES YOU UNDERSTAND THE COURSE IS NON-REFUNDABLE
ONCE YOU HAVE RECEIVED THE BOOKS. [IN HEALTH OR EMERGENCES
YOU WILL HAVE THE OPPORTUNITY TO PICK UP AN ALTERNATE DATE
TO ATTEND WITHIN A NINE MONTH PERIOD AFTER THE ORIGINAL
DATE .]
PRINT NAME___________________________
SIGNATURE____________________________
TODAY'S DATE_________________________
CONTACT SANDRA GALBRAITH CEO
(907) 479-6707
E-MAIL myoosteo@yahoo.com
KINDRED SPIRITS
P.O.BOX 80782
FAIRBANKS, AK
99708-0782