516 Commerce St, Franklin Lakes, NJ
(201) 355-4599
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Application Form

PLEASE READ: It is extremely important that applicants follow the directions in filling out and submitting the school Application for Admission as soon as possible to ensure a place in class.  Incomplete applications will be returned to the applicant for further information – this may result in a delay when processing the application.

  • Complete the application form in its entirety.

  • There is a $50 non-refundable application fee due at the time application is submitted. Upon submitting the form below, you will be redirect to payment via Stripe.

  • Refer to the school catalog for admission requirements and submit necessary documents.

The school contract will be sent to upon acceptance of your application. A $100 non-refundable registration fee is required with the submission of your contract to secure a place in class

Calm student clinic treatment room with a prepared massage table, folded linens, bolster, and soft natural light

    Start your application

    Complete the sections below. Fields marked * are required.

    Personal information






    Address & background









    Statistical information

    The following information is for United States and New Jersey Department of Education statistics only. This application is confidential. The school does not discriminate based on age, gender, race, ethnic origin, religion, sexual orientation, or disability. You may leave optional statistical questions blank.

    Race or Ethnicity

    Highest level of education at enrollment

    Employment status at enrollment

    Are you disabled?

    Do you have an IEP?

    If yes, please hand it in before the start of your class.

    Military Information

    Have you or either of your parents served in the military?

    Health information

    All information will be kept confidential.

    Check all that apply

    Have you had any broken bones?

    Do you experience any numbness or tingling?

    Do you experience stabbing pains?

    Do you have any circulatory problems?

    Do you suffer from any allergies?

    Are you pregnant?

    Are you under care for any other physical or mental condition?


    Payment preference

    No Finance Charges — Self-Pay

    Certification & signature

    By signing below, you are attesting that all information provided herein is accurate and truthful to the best of your knowledge. Any falsification or withholding of pertinent information may result in rejection of your application or dismissal from the program. Class sizes are limited and submission of this application does not guarantee admission. The Institute for Therapeutic Massage, Inc. admits qualified students regardless of race, religion, national origin, gender, age, sexual orientation, or marital status.




    Please review your information before submitting.

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    Our 620-hour massage therapy program in Franklin Lakes prepares students for careers in wellness and performance. Learn hands-on skills, anatomy, and professional practice in a supportive, clinic-centered environment. 

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    Let’s Get In Touch
    (201) 355-4599
    516 Commerce St, Franklin Lakes, NJ
    info@instituteofmassageandperformance.com

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