Online Application for the Therapeutic Hand & Foot Reflexology CERTIFICATION Program

Before submitting your application, we invite you to first read through the pages describing the program. You will find links to this information under the EDUCATION>CERTIFICATION heading on the menu bar at the top of the page.

NOTE: BEFORE completing the form below, please read the following two pages. You will be asked in the application process to agree to the terms of these two documents.

After you have submitted your application and paid the non-refundable, non-transferable $100 application fee:

We will contact you to arrange a short telephone conversation or in-person meeting.
We will prepare and send your Enrollment agreement. The Enrollment agreement outlines your personalized payment options and due dates.
You will select the payment option that works best for you for the balance of you tuition and return the form to us.
We will notify you that you are registered and what your next step is in preparation for the class commencement.

Step 1 of 2

Step 1: Enter your personalized tuition
Base Tuition including $100 non-refundable, non-transferable application fee for 2021 April-November - Reflexology Professional Certification in Saint Augustine, FL
Deduct the following, if applicable
- Save $200.00 if paid in full 30 days prior to commencement of classes.
Deduct ONE of the following savings, if applicable:
- Save $100.00 if you are traveling over 200 miles each way to come to class. OR
- Save $200.00 if you are traveling over 500 miles each way to come to class.
My investment in myself is*
Step 2: Complete your registration profile
This information is needed to create your certificate, post credits to the professional agencies that require such information from the provider, and to contact you, if necessary. Rest assured - we do not share such information. FIELDS WITH * ARE REQUIRED.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Birthday
MM
DD
YYYY
Current Occupation*
Emergency contact name*
First Last
Emergency contact phone*
How did you hear about this training?*
Please be specific and name as many sources as are applicable.
What interests you about reflexology? How do you plan to incorporate reflexology into your life?*
What led you to choose this particular certification program?*
Bodywork Training
Please list previous or current training in bodywork with beginning and ending dates, name of course, number of hours, instructor or school.
References*
Please list two individuals other than family (name, phone, relationship).
CE Credits*
Do you require continuing education credits?
- No.
- Yes.
Professional License*
Alpha/Numerical # State / Province / Region
ARCB Certification #
RAC Certification #
NCB Certification #
Other
Requirement*
- Yes, I have read and agree to the Requirements for Completion.
Refunds*
- Yes, I have read and agree to the Refund Policy.
Sign up for the Academy's newsletter?*
- Yes
- No
Step 3: Please ensure the information above is accurate before proceeding.
After you have checked to make sure all the above information is accurate, please submit your application by pressing the "Submit Application" button below. You will then be transferred to a new page for the final step, and the link to pay your nonrefundable, nontransferable $100 application fee with a credit card or debit card. Your application will be complete once the application fee payment is approved by your credit card company.

Online Application for the Therapeutic Hand & Foot Reflexology CERTIFICATION Program

Step 1 of 2

Step 1: Enter your personalized tuition

Step 2: Complete your registration profile

Step 3: Please ensure the information above is accurate before proceeding.