AMTA Delaware Chapter Bodywork Conference
Registration Form
*Registration Deadline October 1, 2008
Conference Workshop Choices: Mark your 1st, 2nd, and 3rd choices
_____Baby’s First Massage 1-day class (11 CEU’S) + $35.00 materials fee
_____Hot Stone Therapy 2-day class (16 CEU’S)
_____Active Isolated Stretching 2-day class (16 CEU’S)
_____Bamboo Fusion 2-day class (16 CEU’S)
_____Introduction to CranioSacral Therapy 2-day class (12 CEU’S)
_____Ethics 1-day class (6 CEU’S)
_____Success Aerobics and Marketing Your Massage Business 1-day class (6 CEU’S)
*All 1-day classes are on Saturday
Conference Fees
Lunch is included
AMTA Member Non-Member After 8/31
All 2 Day Classes $240.00 $265.00 $290.00
Baby’s First Massage $130.00 +$35.00 $155.00 +35.00 $180.00 +$35.00
Ethics $100.00 $125.00 $150.00
Marketing Classes $100.00 $125.00 $150.00
Special Requirements
__ Dietary___________
__ Sign Interpreter
__ TDD
__Wheelchair Access
Method of Payment
___ Money Order ___Check
(U.S. funds only payable to AMTA DE Chapter)
Conference Fee $______
Due on Day of Conference
____ $35.00 Baby’s First Massage
____ $280.00 Early Reservation Stone Set
____ $374.00 Early Reservation Stone Set
Mail this form with payment to:
AMTA Delaware Chapter
Attn: Linda Silvis
27 Fremont Road
Newark, DE 19711
Cancellation Policy
All cancellation requests must be made in writing.
The class fee will be refunded less $50.00 if the cancellation notice is received within 15 days of the start of the class.
No refunds will be issued 15 days from the start of the class.
Name ___________________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________
Telephone # for questions_____________________________________________________
E-Mail address ___________________________________________
May we confirm your registration via this e-mail address? _________
AMTA Member Number______________________________________________________