DC Registration with CE Hours | Certification Series

First Year DC and Student Registration
Early Registration $300 (prepaid before November 5, 2020)
$350 (prepaid November 5, 2020 - Day of Event 2020)

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

Thompson Technique Seminar

The Shores
Daytona Beach

First Year DC and Student Registration, Daytona Beach

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 Chiropractor or Student:
$300 (prepaid before midnight, November 4, 2020)
$350 (prepaid November 5 - Day of event, 2020)

Charges include admission to the, Thompson Technique Seminar Daytona Beach, and accompanying notes. CE verification letters are $50 per state.

Seminar Dates and Times: Saturday, December 5, 2020, 9am-7pm.

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 5, 2020, a 25% administration fee will be deducted from amount paid. From November 6 - November 27, 2020 a 50% administrative fee will be deducted from amount paid. There are no refunds after November 27, 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 this seminar date, December 5, 2020, for any reason, and at any time, the registrant will receive 100% refund of paid seminar fees 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 DC Registration With CE Hours, Certification Series

Thompson Technique SeminarThe Shores Daytona Beach

Thompson Technique Seminar

The Shores
Daytona Beach