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American Massage Therapy Association
Delaware Chapter

 

 

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______________________________________________________