Registration Renewal Application 2023-24

Renewal deadline date: 5:00 pm on March 31, 2023

Active registrants maintain an active practice in Newfoundland and Labrador.
Inactive registrants are NOT permitted to practice in Newfoundland and Labrador.
NOTE: You may only remain inactive for 2 consecutive years.
If you would like to complete a “paper” copy of the registration renewal application, please download it here for printing.

I am renewing as:
Active RegistrationInactive Registration

Has any of your contact information changed from last year?
YesNo

Contact Information:

Primary Business Information:

Do you have an additional business to provide information for?

Second Business Information:

Do you have a third business to provide information for?

Third Business Information:

Conditions of licence:

It is a condition of licence that you inform the College of any conviction of a criminal offence. Please answer the following questions and provide any relevant details based on your response.

Have you been found guilty of a criminal offence related to the regulation of the practice of massage therapy?
YesNo

Please provide details:

Have you been found guilty of a professional misconduct, or incompetency in any jurisdiction in relation to the practice of massage therapy or any other health care profession?
YesNo

Please provide details:

Are you subject to any current proceedings for professional misconduct, incompetency or incapacity?
YesNo

Please provide details:

Have you been convicted or charged with, and not yet been found guilty or acquitted, of an offence that affects your fitness to engage in the practice of massage therapy?
YesNo

Please provide details:

Mandatory Declarations (Active Registration only):

Have performed 500 hours client care, or finished your massage therapy program within previous 3 years or completed a refresher course within the last fifteen months.
YesNo

Current liability insurance for at least $3,000,000 per occurrence.
YesNo

Be a member in good standing of the NLMTA.
YesNo

Have Canadian citizenship, landed immigrant status, or a valid employment authorization from Immigration Canada.
YesNo

Have valid Emergency First Aid Certificate with CPR.
YesNo

If you have an electronic copy of your First Aid Certificate with CPR (e.g. PDF, JPG, etc.) please attach a copy. Otherwise, you will be required to provide a copy by mail or fax.

Choose file No file chosen

Click to attach an electronic version of your certificate

All Applicants:

I verify that the information provided on this application is true.

I agree to abide by the Massage Therapy Act, 2005; the Massage Therapy Board Regulations, 2005; Code of Ethics and Standards of Practice; and the policies of the College of Massage Therapists of Newfoundland and Labrador (CMTNL).

Signature

Date

Active Fee $450 Inactive Fee $200

Fees must accompany and/or be sent after the submission of this form. Money orders, certified cheques, VISA, and Mastercard are accepted. Debit may be used directly at office. E-transfers can be sent to cmtnlfees@gmail.com. Password for e-transfers should be set to: cmtnl2023

PLEASE NOTE THAT RENEWAL IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.

There is a $35 processing fee for NSF cheques or Credit card payments that are unable to be processed.

The CMTNL registration year runs from April 1, 2023 – to March 31, 2024 Payment for renewal of registration must be received on or by 5:00 pm March 31, 2023 – otherwise a late fee of $50 will be charged for every month you are late.