The National Massage Championship Entry Form Sunday 29th & Monday 30th September 1 Your information2 Competition selectionYour name* First Last Address* Street Address Address Line 2 City County / State / Region Post Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Daytime telephone number*Email* Enter Email Confirm Email Please choose your the number of competitions you would like to enter*1 Competition2 CompetitionsPlease choose your competitions* SPA Wellness Massage for qualified therapists (Sunday) Freestyle Massage for qualified therapists (Sunday) Eastern Massage for qualified therapists (Sunday) Chair Massage for qualified therapists (Sunday) Advance Massage for qualified therapists (Monday) Swedish/Deep tissue Massage for qualified therapists (Monday)Would you like to enter for 4 handed Freestyle Massage?NoYesWould you like to enter for 4 handed Eastern Massage?NoYesName of the second team member for Freestyle Massage* First Last Name of the second team member for Eastern Massage* First Last Please upload proof of your training*Accepted file types: jpg, png, pdf, jpeg.Please upload an image or PDF up to 2MB in size.Please upload proof of your insurance*Accepted file types: jpg, png, pdf, jpeg.Please upload an image or PDF up to 2MB in size.Please upload proof of insurance for the second team member for Freestyle Massage*Accepted file types: jpg, png, pdf, jpeg.Please upload an image or PDF up to 2MB in size.Please upload proof of insurance for the second team member for Eastern Massage*Accepted file types: jpg, png, pdf, jpeg.Please upload an image or PDF up to 2MB in size.Coupon 4 Handed Freestyle Massage Price: £ 40.00 4 Handed Eastern Massage Price: £ 40.00 Total £ 0.00 Timings may change for the competitionsThe competitor and model must be aged 18+.Please tick to confirm you’ve read the following*Please visit www.olympiabeauty.co.uk.co.uk/privacy-policy to see how we use your personal data Please tick to confirm you have read and agree with how we use your personal data* Participation in The National Massage Championship at Olympia Beauty 2019 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 eventCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.