The National Massage Championship Entry Form Your name* First Last Address* Street Address Address Line 2 City County / State / Region Post Code Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Daytime telephone number*Email* Enter Email Confirm Email Please choose your competition level and quantity for the National category*Student Competition £251 Professional Competition - £992 Professional Competitions - £149Please choose your competitions* SPA Wellness Massage for qualified therapists (Sunday 10:00am – 11.00am) Freestyle Massage for qualified therapists (Sunday 11:30am – 12.30pm) Eastern Massage for qualified therapists (Sunday 2:00pm – 3:00pm) Chair Massage for qualified therapists (Sunday 3:30pm – 4:30pm) Advance Massage for qualified therapists (Monday 10:00am – 11:00am)You will enter the Classic Swedish, SPA Wellness Massage or Advanced competition category for student therapists (Monday 11.30am – 12.30pm)Please upload proof of your training*Accepted file types: jpg, png, pdf.Please upload an image or PDF up to 2MB in size.Coupon VAT £ 0.00 Total £ 0.00 Timings may change for the competitionsThe competitor and model must be aged 18+. The name of the model cannot be amended after it has been supplied.Please tick to confirm you’ve read the following* How we use your personal information* Participation in The National Massage Championship at Olympia Beauty 2018 is under the proviso of the following;a. All participants must sign and return “The National Massage Championships Participants Declaration” which will be send out 60 days before the event takes placeb. Copies of certification must be provided to the organisers before arriving onsitec. A copy of your PL Insurance must be held with you on the day of the eventPhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.