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(810) 987-3959

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About Us
Student Services
Financial Aid

Enrollment Application for Lakewood School of Therapeutic Massage

Application for Enrollment

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Education- High School Name or GED Name, City/State and Year of Graduation *

Emergency Contact Name, Relationship, and Phone Number *

Medical Information (Must Be Able To Give And Receive Massage): *

contact lenses
diabetes
frequent headache
dentures
high blood pressure
heart problems
pregnancy
chronic back pain
blood clots
muscle spasms
arthritis
osteoporosis
digestive problems
tumors or cysts
acute injury
aneurysms
infectious diseases
none

Please Explain Selected Items (Input NA If None Selected): *

Is Ongoing Medical Supervision Required? *

Currently Taking Medications? If Yes, Please list) *

How did you learn about Lakewood? *

Have you received a one-hour massage? Where? Month/Year *

Have You Been Convicted Of A Felony? *

Which Program Start Are You Interested In: *

Fall (September- June) Program Choice: Tuesday and Friday Class
Spring (March - December) Program Choice Thursday and Friday Class

Today's Date *

Custom Captcha *

=

There is a $25.00 application fee to pay before we complete your application process. You can drop off your payment at our school during business hours, or call us for other payment options. Thank You!

Contact Information is Here.

Ready? Apply Now

1102 6th Street, Port Huron, MI 48060

Phone : (810) 987 3959
Email : emailus@lakewoodschool.edu
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Massage Therapy Programs
Continuing Education
Massage Therapy Program Course Descriptions
Massage Therapy
Transcript Request

Massage Therapy Programs
Continuing Education
Massage Therapy Program Course Descriptions
Massage Therapy
Transcript Request

Financial Aid Information

Campus And Security
Financial Aid
Code Of Conduct
Gainful Employment
Title IV Policy
Satisfactory Progress
Transcript Request

Campus And Security
Financial Aid
Code Of Conduct
Gainful Employment
Title IV Policy
Satisfactory Progress
Transcript Request

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