ICPA - Establishing and Advancing the Chiropractic Family Lifestyle

Registration is available to chiropractors and to chiropractic students in their final two years of school.

Price Breakdown
Total:	$160

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 *

Request CE Credits ($45)
This can also be requested later through your account.

The following states have approved this seminar in your location for up to 12 hours.
Some states listed may have approved fewer hours.

How did you hear about the seminar? Please check all that apply:

From another member
Conference
Chiropractic College
Google Search
Social Media
Email / Newsletter
BirthFit
Other

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 *

Individual Seminar

Do You Have an Existing Account?

No, I have not created an account yet.

Seminar Registration Form

STEP 1

STEP 2

STEP 3

Individual Seminar

MEMBERSHIP DISCOUNTS

Do You Have an Existing Account?

No, I have not created an account yet.

Seminar Registration Form

STEP 1

STEP 2

STEP 3

MEMBERSHIP DISCOUNTS