Massage CE Class Provider Form

Please fill this out to offer your CE Class at Brownstone Station Wellness Center. We ask that you try to submit this 3 months prior to the start date and time of your class. We will give you access to our Google Calendar to view dates upon request.

First Name

Last Name

Phone Number Cell Preferred

Address

Will you be collecting payment and take registrations from attendees or do you want BSWC to do that? We prefer you do but we can discuss.

I will collect payment and take care of registration

I would like if BSWC would collect payment and registration

Name of CE Class

Date(s) and times of event (what you wish to have or list what has been confirmed already.)

How many CE Credits is this class?

How long is the CE Class AND How much set up and clean up time is needed before class starts and after class ends?

Cost of CE Class

Please describe your CE Class as you want it listed on our website and for marketing?

Are you NCTMB? Yes or No and type in short bio (you don't have to do this each time - just sumbit once)

Social media account

website

Files if you have any to submit (resume or other)

Upload your file

Choose a file or drag and drop one here.

Image (class photo or your photo)

Upload your file

Choose a file or drag and drop one here.

Image (class photo or your photo)

Upload your file

Choose a file or drag and drop one here.

Massage CE Class Provider Form

First Name

Last Name

Phone Number Cell Preferred

Address

Will you be collecting payment and take registrations from attendees or do you want BSWC to do that? We prefer you do but we can discuss.

I will collect payment and take care of registration

I would like if BSWC would collect payment and registration

Name of CE Class

Date(s) and times of event (what you wish to have or list what has been confirmed already.)

How many CE Credits is this class?

How long is the CE Class AND How much set up and clean up time is needed before class starts and after class ends?

Cost of CE Class

Please describe your CE Class as you want it listed on our website and for marketing?

Are you NCTMB? Yes or No and type in short bio (you don't have to do this each time - just sumbit once)

Social media account

website

Files if you have any to submit (resume or other)

Upload your file

Choose a file or drag and drop one here.

Image (class photo or your photo)

Upload your file

Choose a file or drag and drop one here.

Image (class photo or your photo)

Upload your file

Choose a file or drag and drop one here.