The National Massage Championship Entry Form Saturday 28th and Sunday 29th September 1 Your information2 Competition selection Your name* First Last Address* Street Address Address Line 2 City County / State / Region Post Code AfghanistanAlbaniaAlgeriaAmerican 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 Would you like to enter the National or International competition?*NationalInternationalPlease choose your the number of competitions you would like to enter*1 Competition2 CompetitionsPlease choose your competitions* SPA Wellness Massage for qualified therapists (Saturday) Freestyle Massage for qualified therapists (Saturday) Eastern Massage for qualified therapists (Saturday) Chair Massage for qualified therapists (Saturday) Advance Massage for qualified therapists (Sunday) Swedish/Deep tissue Massage for qualified therapists (Sunday) 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.Coupon 30% DISCOUNT UNTIL 24TH DECEMBER 2018 £ 0.00 VAT £ 0.00 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* How we use your personal information * 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 event PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.