Seminar Registration Form

Registration is available to chiropractors and, effective 1/1/2020, to chiropractic students in their final year of school.

Price Breakdown
Total:	$480

Seminar Registration Form

STEP 1

Personal Info

STEP 2

Seminar Info

STEP 3

Payment Info

Create an Account Account Email *
We will use Account Email for account-related notifications and password resets. Username * Enter a password *
Passwords must be at least 8 characters and contain at least one letter and one number. Passwords are case sensitive.

Contact Info Title First Name * Middle Initial Last Name * Family Suffix Professional Suffix Contact Email *
We will use Contact Email for communications from the ICPA. Contact Phone Number *
Cell Phone Number
We will use Cell Phone Number only to text about last minute seminar changes.

School Chiropractic College * Expected Graduation Date *

Office Address Office Name Country * Address * City *

State/Province

Zip/Postal Code * Phone Number * Fax Number Website URL

Shipping/Home Address

For Pathways Magazine and Other Mailings

Contact Name Country * Address * City *

State/Province

Zip/Postal Code * Phone Number *

Billing Address Same as Shipping

Country * Address * City *

State/Province

Zip/Postal Code *

Credit Card Info Name on Card * Card Number * Expiration *
Month Year
CVC *

Review Your Registration

Advanced Perinatal Clinical Application

John Edwards
Minneapolis, MN
Sep 12-13, 2020

Venue

Northwestern Health Sciences University
2501 W. 84th St.
Bloomington , Minnesota , United States 55431

Seminar Hours

Saturday: 9:00 AM - 6:00 PM
Sunday: 8:00 AM - 12:00 PM

Contact Information

Email:
Contact Email:
Contact Phone:
Cell:

Seminar Options

Request CE: No

Payment Info

All attendees must read and agree to the following terms:

I confirm that I have read and agree to the ICPA Seminar Policies and the Adjusting Technique Release Form.

Individual Seminar

Do You Have an Existing Account?

No, I have not created an account yet.