Home

About Us

Our Program

The Wilson Meagher Method™

Free E-Newsletter

Articles / Research

Links

Testimonials

Contact Us

Purchase our:

Book 

Training Videos

DVD

Training & Certification Program

Clinics & Seminars for Horse Owners

Consultation Services

Canine Massage

Upcoming Events

Click to learn more about our on-line training videos

PROFESSIONAL CERTIFICATION PROGRAM APPLICATION

Fill in the form below and click "Submit" to send your application to us. Please be sure to fill in all (required) fields.

Personal Information:

First Name: Last Name: (required)

Address: (required)

City/Town: State/Province: (required)

Country: Zip/Postal Code: (required)

Phone (Day): - - Ext: (required)

Phone (Evening):  - - Ext:

Email Address: (required)

Educational Background: (required)

High School: Graduation Date: / /

College/University:

Major/Minor:

Degree: Graduation Date: / /

Post Graduate Degrees/Certificates:

Massage Therapy School: Graduation Date: / /

License/Certification: License Date: / /

Physical Therapy School:

License/Certification: License Date: / /

Professional Experience:

Please describe your current job, profession and/or practice:

Please describe your current work with (if applicable):

Humans:

Horses:

Please list your objectives for this professional certification program:

Please list your short and long term goals related to sports massage:

Short Term:

Long Term:

Please describe your experiences (if any) with horses outside the field of sports massage:

Sports massage is a physically demanding profession. Please note any physical limitations that could affect your performance:

References:

Please provide two professional references:

Reference 1:

Name:

Address:

Phone: (Day) - - Extension:

Email:

Reference 2:

Name:

Address:

Phone: (Day) - - Extension:

Email:

Training information:

Date(s) interested in attending training:

Do you need housing during the above dates?  Yes: No:

Site by Fast Lizard

Copyright © 2010-2023