Register for Continuing Education Classes

TOMS RIVER & WEST NEW YORK CAMPUSES

Important Registration & Payment Information

To secure your spot in any  upcoming CE Classes, please follow the steps below carefully.

How to Register and Pay for Continuing Education Classes

1. Select Your Class – In the first field, choose your desired class from the drop-down list of currently available courses.
2. Complete the Registration Form – Fill in all required fields (marked with a red asterisk *), including your NJ LMT license number.
3. Certificate Name – Enter your name exactly as it appears on your NJ LMT license. This will be used for your Certificate of Completion.
4. Agree to Policies – Read and agree to our policies by checking the “I Agree” box.
5. Signature & Date – Type your name and select today’s date.
6. Submit – Click the “Submit” button to complete your registration.

💳 In-Person Registration Option: LMTs are welcome to register and pay in person via cash, check, or credit card. Registration forms can be completed onsite.

Important Policies:

• Your registration is not finalized until BOTH the form and payment are received. We cannot ‘hold seats.’
• It is YOUR responsibility to register and pay in full in a timely way to avoid the Late Registration fees and to ensure your seat is secured
• Early registration deadlines vary by class. Check individual CE class pages.
• Late registration fees ($25) apply if payment is made after the deadline.
• If you do not receive a payment confirmation email within 72 hours, please call us at 732-608-7781 (Mon-Fri, 10am-4pm).
• Final class details will be emailed approximately one week before the class start date.
• FORGOT YOUR LMT LICENSE NUMBER? Search the NJ Board of Massage & Bodywork Therapy database

Need Help?

Call us at 732-608-7781 (Mon-Fri, 10am-4pm) with any questions.

REGISTER FOR CONTINUING EDUCATION CLASSES:

"*" indicates required fields

SELECT A CLASS TO REGISTER*

$105 0 CEs - CPR AED / FIRST AID$350 14 CEs - FOUNDATION OF MYOFASCIAL RELEASE AND IASTM$450 16 CEs - CALCIUM DEPOSITS + POWER POINT DEEP TISSUE$425 16 CEs - INTEGRATIVE REFLEXOLOGY$425 16 CEs - NURTURING THE MOTHER PRENATAL AND POSTPARTUM$369 16 CEs - SOMATIC MINDFULNESS - POISE

Name*

First Last

Address*

Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code

Phone

Cell Phone*

Email*

Facebook Profile Link

Emergency Contact

Emergency Phone

NJ License Number*

How would you like your name printed on the certificate?*

Health Information*

(information will be kept confidential). Body in Mind Massage Institute does not discriminate based on age, gender, race, religion or disabilities.

High Blood Pressure

Chronic Back Pain

Diabetes

Osteoporosis

Arthritis

Varicose Veins

Circulatory problems

Allergies - Food/Latex

Epilepsy

None of these

Are You Pregnant?*

Yes

No

Continuing Education classes are non-refundable.

Body in Mind Massage Institute (BIMMI) and/or class instructor reserves the right to cancel a class due to under-enrollment at which time, participant will be issued a full refund within 2 weeks of cancellation either using the same form for which class was paid, or by check mailed to the participant.

Students cancelling registration:

At least 7 days prior to the class will receive a full refund less a $25 processing fee (per class). No refund will be issued after 7 days, except in cases of medical emergency. No refund will be given to a participant if they fail to be in attendance upon commencement of class. Notice of student registration cancellation may be made by phone or in writing. Written notice shall be delivered to BIMMI by email or regular mail. Date of cancellation shall be considered the actual date such notice is received at BIMMI. Refunds for student-initiated registration cancellations shall be made within 5 business days for credit card or Paypal payments; payments by check or cash shall be refunded within 10 business days.

Payments processed using this online form will appear on your statement as Phoenix Wellness Institute, LLC

Consent

By checking this box, I agree to be called or emailed by or on behalf of Phoenix Wellness Institute, LLC dba Body in Mind Massage Institute. Body in Mind Massage Institute may utilize an automatic telephone dialing system or text messages to the phone number(s) and email address provided on this form, including wireless number(s). All calls or emails placed will be regarding educational services that you are requesting. You are not required to provide consent to receive services from Body in Mind Massage Institute.

I agree to this Policy*

I agree to this Policy

Your Digital Signature*

Today's Date*

MM slash DD slash YYYY

Submit Registration Request

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