Hesch Institute Seminar Registration

Seminar Registration

Please read the seminar brochure, and then fill out the form below to register. The registration form can also be printed from the brochure and emailed, faxed, or mailed. Please see the contact page for mailing address, fax, and phone number.
Items marked with * are required

SEMINAR REGISTRATION FORM

I Am Registering For the Following Seminar: *

Name *

First

Last

Degree/s for certificate (PT, LMT, etc) *

States in which you are licensed / helps us ensure you get CEU credit in all *

Facility *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is The Above Address: *

Home Office

Email *

Home Phone *

Work Phone *

Cell Phone *

Best Phone # to Call *

FAX *

If other, please specify *

Tuition Amount Due *

Payment Type *

Cancellation Policy

No refunds after the deadline listed on the brochure (usually 5-7 days prior to the seminar). Cancellations prior to the registration deadline will receive a refund, less $50 for administrative costs. Cancellations after the deadline will receive credit for a future seminar or Distance Learning.

I have read the Seminar Brochure and agree to all terms and conditions therein. *

I Agree

Registration is a 2-step process. Please click the "REGISTER" button to send your registration information BEFORE clicking the "PAY NOW" button for online checkout.

Seminar Comments

"I enjoyed the course and feel like it will help me in the training room. It will give me a systematic way of looking at lumbar-pelvic-hip issues."
William B Sevening, AT, San Antonio Spurs, TX

Seminar Registration

SEMINAR REGISTRATION FORM

Cancellation Policy

Seminar Comments

SECURE CHECKOUT: