Name *

First Name

Last Name

Phone *

Country

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

By submitting this application, I understand that I will be receiving massage(s) and presently at this time there are NO HEALTH ISSUES with me. I furthermore agree to abide by the rules of the championship (found on our Rules page - link in nav bar) and any reasonable requests made by NYMC staff. *

I agree

I also agree that lectures/classes, preliminary rounds and the final, as well as prize giving will be recorded and used for future marketing on social media and my image may be used in these videos or photos. *

I agree