BLOCK THERAPY

Facial Flow Practitioner Certification

Summer 2026 Cohort

Student Information

Please enter the Student's details below:

The information you enter below is required for your Block Therapy Academy Agreement. You will be redirected to the agreement to review and sign once you submit this form.

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Student's Legal Name (as it will appear in the Block Therapy Academy Agreement)

Student's Mailing Adress

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Terms & Conditions

MEDICAL DISCLAIMER: Block Therapy is not a medical provider and does not employ or retain medical professionals nor does Block Therapy offer medical advice. You must consult your own medical professional with any questions regarding your health. Any changes to treatment being prescribed by a medical professional should only be undertaken based upon the advice and guidance of the medical professional providing the medical care.
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