Enrollment/Registration - Canine Massage - Ojai School of Canine Massage

To register, please complete the following forms. You may purchase lessons in pairs, or the entire canine massage course, on our secure site. If you prefer to pay by check, please call us at +1-805-640-9798 or send us an e-mail.

THERE ARE NO REFUNDS ONCE THE ONLINE LESSONS OR VIDEO HAVE BEEN PURCHASED.

Please be sure to order your books. You will need them beginning with Lesson 2 of the online or onsite course. Please click Here to order books for our Online Canine Massage Course, or please click Here to order books for our Onsite Canine Massage Course.

The Ojai School of Canine Massage does not offer English as a Second Language (ESL) or Closed Caption instruction for our courses or video.

Username^*

Password^*

Password must be at least 7 characters long.

Enter password again^*

Password must be at least 7 characters long.

First Name^*

Last Name^*

Email (Required to confirm Students Submission)^*

Confirm Email^*

Address

Address Line 1 ^*

Address Line 2

City ^*

State or Region ^*

Country ^*

Zip ^*

Telephone Number

Emergency Contact Telephone

Social Security #: Required if you would like to receive a year end Form 1098

Checkbox - 18 years of age^*

I am 18 years of age or older

The following questions are designed to assist us in determining how to best serve your educational needs. We consider each individual as unique.

1. How did you hear about this program?^*

2. What do you wish to get out of this program and what are your dreams and visions for the future?^*

3. Do you have any physical injuries or other limitations (psychological, etc.), recent or past, which may prevent you from completing this program?^*

4. Do you have any allergies or allergic reaction that you are aware of?^*

5. Dog Related Training or Experience^*

6. Additional information you would like us to know and/or any questions you may have.^*

Date^*

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