MASSAGE  TEAM  VOLUNTEER Registration

Maynard ROAD RACE 2009
for the

Maynard Boys & Girls Club
Maynard, MASS 
 
Sunday, September 20, 2009
 

Yes, I want to volunteer for the Maynard Race Massage Team.

                                Name_____________________________________________________________  

                      Address___________________________________________________________

                   

                                    ___________________________________________________________

                                Day Phone____________________________

                                Evening Phone________________________

                                E mail_________________________________________

                                ___I am a Licensed Massage Therapist                    ___ I am a Massage Student

                                I carry Liability Insurance.      Yes __             No ___

                                Insurance Carrier: ________________________________________________

                                Are you a member of a National Massage Organization? __________    

                                Which one? ______________________________________________________

                                Signed:__________________________________________   

                                Date: ___________

                                Thank you for offering to volunteer.    

                                Please mail your Application to:     

                                                                        Barry "BB" Bailey

                                                                        Bailey Therapeutic Massage

                                                                        14 Nason Street,   Suite 201

                                                                        Maynard, MA  01754

                                Please snail mail or e-mail your Application ASAP so that Name Tags can be made.