Equissage Texas: Leading School of Equine Sports Massage

REGISTER FOR A COURSE ONLINE

To register for one of our courses, please fill out the Online Registration Form and choose a payment option below to pay your

class deposit to reserve your place (eg. for a $1295 class, the deposit is $395, the balance will be $900).

PLEASE READ THE ENTIRE FORM BEFORE STARTING YOUR APPLICATION.

Your registration will be processed on receipt of your deposit, on a first-come, first-served basis.

The balance of your tuition will not be due until the first day of your class.

We take payments through PayPal or you can send a check.

See "Payment & Additional Information" below -

If you submit an Online Registration form, you are agreeing to the terms at (A) and (B) below.

Online Registration Form

First and Middle Name:

Last Name:

Email:

Full Mailing Address, City, State, & Zip:

Phone:

Date of Birth:

Preferred Name/Nickname:

Are you over 18?

Current Position (Company Name & Your Role):

Which course are you applying for? (Click for dropdown menu)

First Date Choice:

Second Date Choice:

Third Date Choice:

High School Attended:

Did you graduate and in what Year?

Best subjects:

College Attended:

Did you graduate and in what Year?

Subjects studied & Degree received:

Trade/Business School:

Did you graduate and in what Year?

Subjects studied and Degree received:

Special Subjects or Areas of Interest:

Horse Related Activities (Note: you are required to have demonstrated experience with horses before attending courses at Equissage Texas, ie. AT LEAST to be safe on the ground around horses, experience with haltering & tying horses with a quick-release knot):

Why is a career as an ESMT of interest to you?

Reference 1: Name, Address, Email, Phone, Position Held, & How many years known?

Reference 2: Name, Address, Email, Phone, Position Held, & How many years known?

How did you hear about Equissage Texas? Please be specific, ie. please provide more information than "Internet Search":

Is there anything else we need to know about you or your goals?

Have you read and understood the Payment & Additional Information outlined below?

Please list your preferred payment options (see below), i.e. "12 & 15", or "6 & will bring check for balance to class" etc.:

Electronic Signature:

Date of Application:

Payment & Additional Information

PAYMENT & ADDITIONAL INFORMATION: By electronically signing and submitting the above Online Registration Form, the student requests acceptance in a program of study at Equissage Texas and agrees to the terms at (A) and (B).

All Courses:

(A) I understand I am responsible for familiarizing myself with the regulations for animal massage in any state, states, country, or countries in which I intend to practice, and that Equissage Texas does not guarantee my employment in any state, states, country, or countries in which I intend to practice. I also understand that no form of skeletal adjustment will be taught at Equissage Texas.

(B) I acknowledge that my $395 tuition deposit is non-refundable. I understand, however, that Equissage Texas staff will do everything possible to reschedule me to a later course date at no extra cost, unless I am within one month of the class date for which I am registered -- in this case there will be a $100 rescheduling fee. If I withdraw from the course for which I am registered less than one week from the start date of the course, I understand my deposit will not be carried over to another course and a new deposit for a later course date will be required. If I choose not to attend the course for which I am registered, I understand my deposit will not be carried over to another course and a new deposit for a later course date will be required. All funds received by Equissage Texas by the original class date for which the student is registered are non-refundable. I understand Equissage Texas reserves the right not to proceed with some student registrations based on the content of the individual registration form: not all applicants will be offered places in Equissage Texas programs and the reasons will remain confidential. Applicants not offered places in Equissage Texas programs will be refunded the fees submitted (less the PayPal transaction fee, if applicable).

On receipt of your class deposit, you will be notified by email regarding approval of your application and your selected course date. If you have any questions, please contact Sara Berry CESMT, Lead Instructor, Equissage Texas, at sara@equissagetexas.com Certification as an Equine Sports Massage Therapist (CESMT) is awarded to students who successfully complete the course by coursework assessment and examination.

01 5-Day ESMT Full

PAYMENT OPTION 1 (by Check) -- Payment of Complete Tuition (including Registration) of $1295, sent by check to Equissage Texas LLC

Sophia's Grove

197 Oak Park Lane

Spring Branch, TX 78707

Your check should be made out to Equissage Texas LLC.

02 5-Day Deposit

PAYMENT OPTION 2 (by Check) -- Payment of Registration Fee $395 sent by check to

Equissage Texas LLC

Sophia's Grove

197 Oak Park Lane

Spring Branch, TX 78707

Your check should be made out to Equissage Texas LLC. If paying Registration Fee only in advance, the Tuition balance of $900 is due on the first day of your scheduled class.

03 5-Day ESMT Full

PAYMENT OPTION 3 (PayPal) --

If paying Complete Tuition Fee (including Registration Fee) of $1295, via PayPal. A PayPal transaction fee of $38 will be added.

04 5-Day Deposit

PAYMENT OPTION 4 (PayPal) -- If paying Registration Fee of $395 only, via PayPal. A PayPal transaction free of $12 will be added. The Tuition balance of $900 is due on the first day of your scheduled class.

05 5-Day Balance

PAYMENT OPTION 5 (PayPal) -- If you have paid your $395 deposit and wish to pay the remaining $900 by PayPal prior to the start of class. A PayPal transaction fee of $27 will be added.

06 Advanced Deposit

PAYMENT OPTION 6 -- (Check) Payment of Registration Fee $395 sent by check to Equissage Texas LLC

Sophia's Grove

197 Oak Park Lane

Spring Branch, TX 78707

Your check should be made out to Equissage Texas LLC. If paying Registration Fee only in advance, the Tuition balance of $500 is due on the first day of your scheduled class.

07 Advanced W/shop

PAYMENT OPTION 7 (PayPal) -- If paying Complete Tuition Fee (including Registration Fee) of $895, via PayPal. A PayPal transaction fee of $26 will be added.

08 Advanced Deposit

PAYMENT OPTION 8 (PayPal) -- If paying Registration Fee of $395 only, via PayPal. A PayPal transaction free of $12 will be added. The Tuition balance of $500 is due on the first day of your scheduled class.

09 Advanced W/shop

PAYMENT OPTION 9 (Check) -- Payment of Complete Tuition (including Registration) of $895, sent by check to

Equissage Texas LLC

Sophia's Grove

197 Oak Park Lane

Spring Branch, TX 78707

Your check should be made out to Equissage Texas LLC.

10 Advanced Balance

PAYMENT OPTION 10 (PayPal) -- If you have paid your $395 deposit and wish to pay the remaining $500 by PayPal prior to the start of class. A PayPal transaction fee of $15 will be added.

11 2-on-1 Deposit

PAYMENT OPTION 11 (PayPal) -- If paying Registration Fee of $500 only, via PayPal. A PayPal transaction free of $15 will be added. The Tuition balance of $995 is due on the first day of your scheduled class.

12 2-on-1 Balance

PAYMENT OPTION 12 (PayPal) -- If you have paid your $500 deposit and wish to pay the remaining $995 by PayPal prior to the start of class. A PayPal transaction fee of $30 will be added.

13 Herd Owners

PAYMENT OPTION 14 (PayPal) -- Tuition payment of $595 payable on Registration. A PayPal transaction fee of $18 will be added.

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