Synergy Institute

Email Address*

First Name*

Last Name*

Phone Number*

Address*

City*

Zip Code*

State*

Date of Birth*

Social Security*

Emergency Contact*

Emergency Contact Phone*

Do you prefer day class or evening class ? *

Preferred scrub top and bottom size ? *

Are you a veteran ? *

Electronic Signature*

Clear

Date*

Financial Information

The tuition of $7,500 is due before the first course of the 500 hour Massage Therapy program. Due to Louisiana Board of Regents changes, Synergy program will be increasing in January 2027 to 625 hours and $10,000 tuition.
*Tuition excludes licensing fees

Refund Policy

For a student who withdraws after the signing of this commitment letter and payment is received, the following conditions will apply:

-During the first two weeks of class, 85% of tuition amount will be refunded
-After the first two weeks, but in the first 25% of the semester, 60% of tuition will be refunded
-During the second 25% of the semester, 50% of tuition will be refunded
-There will be no refunds given during the second half of the semester

I understand the tuition payment agreement I have chosen on the reverse side of this contract. Should I
default on this agreement, I agree to be responsible for all legal fees incurred in the collection process.
I have received a school catalog with a class schedule, an outline of courses and their descriptions, refund policy, job placement assistance, and other miscellaneous information regarding the course.
I agree to comply with school policies during my term of enrollment.
I understand that enrolling in massage therapy training is physically, psychologically, and emotionally demanding and verify that I am in good health and have no concerns that may interfere with said training.
Additionally, I agree to hold harmless Synergy Massage Institute for any development of new health problems or exacerbation of pre-existing health problems that occur during my said training program (Initials )
I understand that video and still photography may be used in promotional and instructional materials.
I understand that a portion of class resources may only be available online, and that I will need off-site access to a personal computer with internet access.. I understand that I am also required to have an email address that I check regularly.
I further understand that I will be required to give and receive massages and agree to participate during class and during student clinic in order to graduate.

Application/
Enrollment

Financial Information

Refund Policy

For more information call Jean at (504) 532-0122 or email synergymassageinstitute@gmail.com

Application/Enrollment

Financial Information

Refund Policy

For more information call Jean at (504) 532-0122 or email synergymassageinstitute@gmail.com

Application/
Enrollment