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Student Registration Form


First Name:
Last Name:
Phone:
Cell or Alt. Phone:
Mailing Address:
City: State: Zip:
email address:
Name of courses you are enrolling in:                  Lookup Class Info
$
$
$
Please describe any previous massage training you have had:

Payment:
Online (credit card)
Mailed
To mail in, print this form and mail to:
The Naga Center
3415 N.E. 49th Ave
Portland, OR. 97213
(please note that this is a mailing address only and is not the physical location of The Naga Center)

submit



call 503-473-4268 or email info@nagacenter.org for further information

 

 












 

 

 

 

 

 

 

 



































































































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