First Name:*
Last Name:*
E-Mail:*
Mobile:*
Address1:*
City:*
ZipCode:*
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If you are PCI Academy Alumni, when was your graduation date?

Alumni Grad Date:
Location:*
Salon/Spa Name*
Salon/Spa Address*
Type of License*
License #*
Contact Me*


Amount*
Base on your open house selection.

Please choose the class or classes you wish to attend:


December 2018 Table Thai Massage Class

Tuesday, December 4, 2018 9:00 AM - 3:00 PM

Amount: $199.00

January 2019 Cupping Class

Tuesday, January 8, 2019 9:00 AM - 3:00 PM

Amount: $199.00

February 2019 Advanced Deep Tissue Massage Class

Tuesday, February 5, 2019 9:00 AM - 3:00 PM

Amount: $199.00

March 2019 Sports Massage Class

Tuesday, March 5, 2019 9:00 AM - 3:00 PM

Amount: $199.00

April 2019 Cupping Class

Tuesday, April 2, 2019 9:00 AM - 3:00 PM

Amount: $199.00

May 2019 Deep Tissue Massage Class

Tuesday, May 7, 2019 9:00 AM - 3:00 PM

Amount: $199.00

June 2019 Table Thai Massage Class

Tuesday, June 4, 2019 9:00 AM - 3:00 PM

Amount: $199.00

July 2019 Cupping Class

Tuesday, July 9, 2019 9:00 AM - 3:00 PM

Amount: $199.00

August 2019 Advanced Deep Tissue Massage Class

Tuesday, August 6, 2019 9:00 AM - 3:00 PM

Amount: $199.00

September 2019 Sports Massage Class

Tuesday, September 3, 2019 6:00 AM - 6:30 AM

Amount: $199.00

October 2019 Cupping Class

Tuesday, October 8, 2019 9:00 AM - 3:00 PM

Amount: $199.00

November 2019 Advanced Deep Tissue Massage Class

Tuesday, November 5, 2019 9:00 AM - 3:00 PM

Amount: $199.00

December 2019 Table Thai Massage Class

Tuesday, December 3, 2019 9:00 AM - 3:00 PM

Amount: $199.00