Registered Massage Therapy School Waitlist Form

    Thank you for your interest in our upcoming Massager Therapy program.

    Contact Info:

    First Name *

    Last Name *

    Email *

    Facebook email, if different

    Date of Birth * yyyy-mm-dd

    Phone *

    Best method of contact?

    Street Address *

    City/Town *

    Province *

    Postal Code *

    Education:

    Last Grade Achieved *

    Year *

    Employment:

    Current Occupation

    Employer

    Program Information:

    Which course are you interested in? *

    Campus Location: *

    How did you hear about us?

    Reason you choose this program? *

    Why did you choose Elevate Beauty Institute of Cosmetology? *

    Do you consent to Elevate Beauty using your reason for choosing us in our marketing?

    Do you consent to Elevate Beauty using your first name, last name initial and city with your above reason for choosing us?

    How will you be funding your education? *
    Both of our full time programs qualify for student loans. More information can be found at www.canlearn.ca

    If applying for loan, have you ever defaulted on a loan?

    This application has been completed by: *
    Name of parent or guardian (if applicant is under 19):

    Note: Course offerings, schedules, fees, facilities and faculty are subject to change without notice. We also reserve the right to postpone or cancel programs due to inadequate enrollment.