ICM Prerequisite Form INFUSION CENTER MASSAGE FUNDAMENTALS 101 Register for ICM prerequisite verification HiddenNext Steps: Install the User Registration Add-OnThis form requires the Gravity Forms User Registration Add-On. Important: Delete this tip before you publish the form.Name(Required) First Name Last Name Email(Required) Phone(Required)Prerequisite confirmationThe enrollment prerequisite for the ICM Fundamentals 101 program is the completion of a S4OM or S4OE approved 32CE Foundation course(Required)Do you meet the ICM Fundamentals 101 program prerequisite? Yes No If yes, please specify:Terms and Policy(Required) I have read and agree to the Learner Agreement Terms of Use and Customer Privacy Policy .
