Registration HTMLName *Email Address *Phone *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal codeReferred byShort Biography“Please provide a short biography that we can post on the website”Profile Picture *Choose FileNo file chosenDelete uploaded fileCategory 1 st Choice *Swedish MassageWellness MassageFreestyle Massage WesternSports MassageChair MassageClinical MassageFacial MassageStudent – one category onlyCategory 2nd Choice *Swedish MassageWellness MassageFreestyle Massage WesternSports MassageChair MassageClinical Massage,Facial MassageStudent – one category onlyTable *I will be bringing a tableI need to rent a table and will need more informationProof of Insurance *By submitting this application, I understand that my participation in the competition REQUIRES that I have liability insurance active during the dates of the competition. I UNDERSTAND THAT I WILL NOT BE PERMITTED TO PARTICIPATE IF THIS DOCUMENT IS NOT PROVIDED. *REQUIRED* Registration will not be processed if “Proof of Insurance” is not uploaded!Choose FileNo file chosenDelete uploaded fileMassage Therapy License *Choose FileNo file chosenDelete uploaded fileLiability Agreement *I understand that Illinois Massage Championship will not be held responsible or liable for any items that are lost, stolen, or damaged during the event. I understand that I am voluntarily participating in the Illinois Massage Championship and I am participating in the event at my own risk. I agree that I will be fully responsible financially for any injury or damages, including attorney’s fees, hospital and medical care, that may occur during the event due to negligence or irresponsibility. In the event that I should require medical care treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance, and massage therapy liability insurance.I agreeRules Agreement *By submitting this application, I understand that my registration fees are NON-REFUNDABLE. I also agree to abide by the Mask/Vaccination policy as detailed in the Championship Rules at https://www.worldmassagefestival.com/2024/championRULES.html *REQUIRED* Registration will not be processed or accepted if this box is not checked!!!I VERIFY THAT I HAVE READ, UNDERSTAND AND AGREE TO THE RULESPayment Method *I agree and will pay with PayPal or Credit Card once I submit my registrationSubmit