Date of Training
Name of Training
Profession & Certifications
How did you learn about this course? (please be as specific as possible):
In order to provide hands-on therapy for pediatric clients you must possess a hands-on certification or license prior to providing touch therapy for pediatric clients. For example certification/license in massage therapy, physical therapy, nursing or as a physician. This course as a stand alone course, does not provide certification to provide hands-on therapy for pediatric clients. This is a continuing education course designed to expand your practice.
By signing this form it is acknowledged that you have read and understand our refund policy.
*Cancellation & Refund Policy
All course registrations must be accompanied by payment in full in order to confirm your space in the class. Class space is limited and reserved on a first-come, first-served basis.
In the case that you need to cancel your registration, please contact firstname.lastname@example.org.
Refunds requested by participants are only available according to the following policy:
If notification is received by our office between ７ business days prior to the start of the class, the registration fee will be refunded minus a ２０% processing fee.
If notification is received by our office within 6 business days prior to the start date of the class, or you do not show up for the class, any and all registration fees paid will be retained in full.
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