Request a CSMT Event If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Thank you for your interest in the American Massage Therapy Association -New York's Community Service Massage Team (AMTA-NY CSMT). The AMTA-NY CSMT is an all-volunteer group of New York Licensed and Insured Massage Therapists. CSMT members are not compensated for their services. All requests are submitted to the AMTA-NY Chapter Board of Directors for approval at the monthly Board meeting, which is held the first Monday of the month. Please submit your request at least 3 months in advance. This application does not guarantee CSMT participation. You will be notified of our decision at our earliest opportunity. If you have any questions please contact: CSMT Chair, David DeLucia, at E: CSMT@amta-ny.org Event Coordinator First Name * Last Name * Position Title * Email * Phone * Event Name * Event Location * Event Address, please include street, city, state and zip code * Event Date * Event Time * Times Requested for Therapists to Work * Is this event indoors or open air? * IndoorsOpen Air Is there onsite parking? * YesNo Anticipated number of participants at this event * Number of years this event has been held * Is this a charitable event? * YesNo Is this organization a non-profit? * YesNo Is this event publicized? * YesNo Will the AMTA-NY Community Service Massage Theam be the only Massage Therapists at the event? * YesNo How will the AMTA-NY Community Service Massage Team benefit your event? * Sponsoring Organization * Signature - Please type your full name * Today's Date *
