DC Registration with CE Hours | Certification Series

Certification Series
First Year DC and Student Registration
Early Registration $1169 (prepaid before December 16, 2020)
$1295 (prepaid December16, 2020 - Day of Event 2021)

Price includes: admission to this seminar series, copy of notes, and a CE verification letter for one (1) state. Additional CE verification letters are $50 per state.

Upon completion of series, 36 hours, and included in the price, participants have the option of taking a practical and written examination. Successfully passing both examinations the The Thompson Technique Academy will confer a certification in Thompson Technique.

This certification series meets the requirements of, and is recognized by, the J. Clay Thompson Technique Foundation.

4 - 9 hour parts, Thompson Technique Seminar Certification Series at

Courtyard by Marriott

Dallas, TX, DFW Airport North/Irving

Seminar Dates and Times
January 16, 2021. 9 hours (CE)
January 23, 2021. 9 hours (CE)
January 30, 2021. 9 hours (no CE)
January 31, 2020. 9 hours (no CE)

Testing:
Written and Practical
January 31, 2021

First Year DC and Student Registration With CE Hours, Certification Series, Dallas

To register for this seminar, and receive CE hours, please complete the registration form below.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Chiropractic College *

Date Graduated / Graduating *

DC License Number *

Additional State DC License Number *

PLEASE READ THIS SECTION FULLY. BY REGISTERING FOR THE SEMINAR YOU AGREE TO THE FOLLOWING:

First Year DC and Student:
$1169 (prepaid before midnight, December 15, 2020)
$1295 (prepaid December 16 - Day of event, 2020)

Charges include admission to the, Thompson Technique Seminars in Dallas, TX, accompanying notes, and CE verification letter for one (1) state. Additional CE verification letters are $50 per state.

Seminar Dates and Times: January 16, 2021, Saturday 9am-7pm.
                                                January 23, 2021, Saturday 9am-7pm.
                                              January 30, 2021, Saturday 9am-7pm.
                                                January 31, 2021, Saturday 9am-7pm.

Certification Testing Date: January 31, 2021. Time to be determined.

All charges are subject to a 3% card processing fee and additional Government Sales Tax if applicable.

Registration fees are not transferable to another individual.

**Registration is limited and is on a first come, first served basis.**

REFUND POLICY:
In the event that you cannot attend a seminar that is prepaid, the fee for that seminar may be applied to another Thompson Technique seminar presented by Dr. Thomas Kolarik within 12 months of the missed seminar, provided that proper notice be given to Dr. Kolarik. Refunds will be processed as follows: Prior to November 15, 2020, a 25% administration fee will be deducted from amount paid. From November 15 - December 31, 2020 a 50% administrative fee will be deducted from amount paid. There are no refunds after December 31, 2020. You cannot transfer your registration to someone else.

Once you submit this form, you will be contacted by a representative via email to confirm your registration for this Seminar.

All efforts to ensure privacy of payment information have been taken.

CANCELLATION POLICY:
In the unlikely event that Chiro CE Destinations, LLC, DBA Thompson Technique Academy, cancels these seminar dates, January 16, 23, 30 and 31, 2021, for any reason, and at any time, the registrant will receive 100% refund of paid seminar fees not used and agrees to Hold Harmless Chiro CE Destinations, LLC for any losses associated with this seminar including but, not limited to, the cost of any lodging, any and all associated travel expenses.

CONSENT For photographs, film/video recordings and/or audio recordings:

I authorize Thomas Kolarik, Thompson Technique Academy, Chiro CE Destination, LLC to make photographs, film/video recording, audio recording or electronic recordings of me, my image and my likeness and to publish or otherwise use information about me.
I understand and agree that the photographs, film/video recording, audio recording or electronic recordings of me, my image and my likeness may used for publication and for other Thomas Kolarik, Thompson Technique Academy Seminars and Chiro CE Destinations seminars, publication/productions in the future.
I do not place any limit on the period of time in which the photographs, film/video recording, audio recording or electronic recordings of me, my image and my likeness or information may be used.
I understand that I will not receive any payment from Thomas Kolarik, Thompson Technique Academy, or Chiro CE Destinations, LLC as a result of the distribution, showing or other use of photographs, film/video recording, audio recording or electronic recordings of me, my image and my likeness or information.
I give my consent with the understanding that I may or may not be identified by full name in any photographs, film/video recording, audio recording or electronic recordings of me which are made.
I understand the photographs, films/videos and audio recordings are owned by Thomas Kolarik, and Chiro CE Destinations, LLC.

BY MY REGISTRATION FOR THE SEMINAR, I CONSENT TO ALL THE ABOVE!

Submit First Year DC With CE and Student Registration, Certification Series, Dallas