Enroll for Training with Michael Curtis

Completing this form enrolls you in the selected training class.
Payment must be arranged with the Trainer prior to attending training.
Ensure the address provided can receive packages on your behalf if you choose Virtual Livestream training.
After submitting this enrollment form, you will be contacted with confirmation of enrollment & payment instructions.

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Frequently Asked Questions

Enrollment Form

Trainer

Select Training

First day of training is listed below

11/04/2024 - Pacoima, CA (FULL)

11/12/2024 - Geneva, NE (FULL)

12/03/2024 - Long Beach, CA

First Name

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Email Address

Secondary Email

Address

Address 1

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Agency Contact Email

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Background

Please indicate your professional background.

Continuing Education

Please indicate if you are interested in obtaining continuing education credits for this course.

Have you taken a 4-day Infant Massage Educator training or been a member of IMUSA previously?

Yes

Why are you interested in attending this training?

Please explain in a few sentences how you plan to use your new knowledge of infant massage/why are you interested in attending this training.

Demographic Information

We are collecting demographic data to better serve our community. Your response is optional but appreciated. How do you publicly self-identify? GENDER

Race & Ethnicity

RACE & ETHNICITY