Training Registration

Name * *

First Name

Last Name

Phone * *

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Address * *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which trainings would you like to register for? * *

C1: April 24 - 27, 2025

C2: May 1 - 4, 2025

C3: November 6 – 9, 2025

C4: November 13 – 16, 2025

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I attest that I understand this statement: The Milne Institute offers continuing education courses for qualified practitioners, who are practicing within the scope of their profession and within the legal parameters of their place of practice. Milne Institute courses cannot be used as primary education or as educational hours towards initial licensure and certification. *

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I certify that I have completed a minimum of 150-hours of massage certification or other professional manual therapy training. *

If you are signing up for C2, C3, or C4:

I confirm that I have completed or will complete C1 with an official Milne Institute instructor.

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I attest that I understand this statement: Classes with Ellen Lenson require a $250 non-refundable deposit due with registration. The Cash/Zelle/Check discounted rate is $850, or $800 if paid in full 60 days prior to start date. *

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I attest that I understand this statement: The class deposit is due with registration. Without a deposit, registration cannot be accepted. No refunds are given for any reason, including medical and family emergency. The balance is due no later than 28 days before class starts. Please do not purchase a non-refundable travel ticket of any kind until the you have been notified that the class is a “Go,” which will occur no later than 28 days before the scheduled start of the class. Please purchase travel insurance, which will help to secure emergency help in the case of weather-related flight cancellation(s). *

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I attest that I understand this statement: Confirmation and detailed class location, travel and accommodation information will be sent upon receipt of your balance, not later than 28 days before class starts. *

Payment Method * *

Check or Zelle payment is preferred.

I will mail a check (payable to SquareBliss LLC, 105 West River St #105, Milford CT 06460)

I will ​pay via Zelle (ellen@ellenlenson.com)

​I will pay by credit card (plus 3.5% fee)

I will pay via VENMO (@squarebliss, plus 3% fee)

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I attest that I understand this statement: The successful outcome of these classes requires a serious commitment on the part of everyone involved. From our students we require a $250 non-refundable deposit for each class, with the remainder due not later than 28 days prior to the first day of class. It is the student’s responsibility to make sure their payment and contact information is up to date with SquareBliss LLC at the time of final payment to secure the student’s class space. Deposits are non-refundable and non-transferable. *

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I attest that I have read and fully understand the deposit and payment policy. *