Enroll for Training with DeAnna Elliott

Completing this form enrolls you in the selected training class.

Payment must be arranged with the Trainer prior to attending training.

After submitting this enrollment form, you will be contacted with confirmation of enrollment & payment instructions.

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Frequently Asked Questions

Enrollment Form

Trainer

Select Training

First day of training is listed below

First Name

Last Name

Email Address

Address

Address 1

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City

State

2 letter abbreviation

Zip Code

Country

For US, enter 'United States'

Phone

For US, enter Country Code 1 prior to the 10 digit phone number.

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How did you hear about IMUSA?

Organization/Agency

Please indicate if you are affiliated with an organization or agency.

Agency Contact Email

If you are affiliated with an agency, enter the main agency contact email here.

Background

Please indicate your professional background.

Continuing Education

Please indicate if you are interested in obtaining continuing education credits for this course.

Have you taken Infant Massage Educator training or been a member of IMUSA previously?

Yes

Why are you interested in attending this training?

Please explain in a few sentences how you plan to use your new knowledge of infant massage/why are you interested in attending this training.

Demographic Information

We are collecting demographic data to better serve our community. Your response is optional but appreciated. How do you publicly self-identify? GENDER

RACE & ETHNICITY

Submitting this form enrolls you in the Training. You will be contacted with confirmation of enrollment and payment instructions.

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