Cayce/Reilly® School of Massage

Application for Admission

Contact Information
Required **

Massage and/or Health Profession Experience and Education

Educational Background:

Employment History:

Please begin with most recent.


Required **

**Please indicate which class you would like to join:  
A.R.E. Member ?   YES NO
How long Have you been a member?  
Are you a citizen of the United States?   YES NO
IF NO, Please list your country of origin  
Have you ever been convicted of a felony or misdemeanor other than traffic offenses?
If yes, please explain:

Additional Admissions Requirements:

  1. Non-refundable application fee of $75.00
  2. Proof of high school graduation or equivalency (school transcripts, diploma or GED copy)
  3. Proof of having received at least one professional massage (obtainable in C/R Student Clinic)
  4. Physical Examination (obtainable in A.R.E. Spa)
  5. Documentation of TB test within last 12 months (obtainable from personal physician or health clinic/urgent care)
  6. Personal Interview with staff or faculty member

Payment of Application Fee

Required **

  Application Fee $75.00 **
Credit Card Information:  
** Name on the Credit Card:  
** Credit Card Type:  
** Card Number:  
** Expiration Date:    
By submitting this form, you are certifying that the information given in this application
is correct to the best of your knowledge.

Cayce/Reilly® School of Massage | 757-457-7270
215 67th Street, Virginia Beach, VA 23451 |