AMTA Delaware Chapter Bodywork Conference
Registration Form
Eric Stephenson of ‘imassage’ is RETURNING!!
Massage Ethics: Navigating the Waters (3 CEs)
Friday November 12 6:00-9:00 p.m.
Deep Tissue Techniques to Enliven Your Practice (14 CEs)
Saturday & Sunday November 13 & 14 9:00 a.m.- 5:00 p.m.
Clayton Hall University of Delaware
200 New London Road
Newark, DE 19716
Conference Fees
A.M. & P.M. Coffee/Tea is included Sat. & Sun.
Special Lunch & Ceremony included Saturday only
AMTA Member Non-Member
Ethics $ 50.00 $ 60.00
Deep Tissue $250.00 $325.00
Early Bird Discount – Paid in Full by 10/1 take $25.00 off
Hold Your Spot! Pay 50% deposit up to 10/15. Balance is due 11/1.
*As per our contract obligations REGISTRATION CLOSES OCTOBER 15
to confirm numbers for our speaker and final class logistics can be taken care of*
Special Requirements
__ Dietary___________
__ Sign Interpreter
__ TDD
__Wheelchair Access
Cancellation Policy
All cancellation requests must be made in writing.
The fee paid will be refunded less $30.00 if the cancellation notice is received before 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 and State______________________________________________
