CalCopa Massage School
California College of Physical Arts, Inc.
18582 Beach Blvd, Suite 11
Huntington Beach, California 92648
APPLICATION TO HOLD A SPACE IN CLASS
Email
Birthdate
 Age
Birthplace
 Gender
M
F
Citizenship Status:
Permanent Resident
 Other (Please Specify)
US Citizen/National
Educational Data
Select the Highest Grade Completed:
 Last School Attended
Course Program Requested
 Part-Time Class Dates
Mon, Wed, Fri, (6 - 10 pm)
Full-Time Class Dates
Monday - Friday (9 am - 2 pm)
Saturday Only Class Dates
(9 am - 3 pm)
How did you find CalCopa? *(Check all that apply)
Check here to pay the
$100 Registration Fee?  
(non-refundable)
Comments, or
Elective Requests
Personal Data
Last Name
First Name
Middle Name
Street Address
City
State
Postal Code
Home Phone
Work Phone
Cell Phone
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You may upload a copy of the complete application packet by using this link:  
Complete Admissions Packet
After completing this application, print and mail it to CalCopa Massage School at the address above.
(Use the <Tab> key to move from space to space)
If you are unable to open this file, contact the school for an email version.