Registration Form Classes are assigned on a first-come, first-served basis. We expect classes to sell out so please remember to register early. If your first choice of a class is not available, you will be assigned your next available choice.
Check All Appropriate: Member Non-Member New Member First-Time Attendee Teacher Delegate Chapter Officer Title (Chapter Officer): National Committee Member Committee Name:
Privacy If you don't want your name released to exhibitors, please check this box
Emergency Information
Education Selections
Please indicate the courses you wish to attend. When classes are offered at the same time, select your top four choices of education in order of preference 1=first choice, 4=last choice.
Thursday Afternoon Early Editions (circle your choice) 1:30 PM 4:30 PM
Friday & Saturday Full-Day Session (If you choose this do not select any other session choices on Friday or Saturday)
Friday session 8:00 AM 5:30 PM, Saturday session 8:00 AM 5:30 PM
Friday only Full-Day Session (select your choice; Do not select any Friday half-day sessions)
8:00 AM 5:30 PM
Friday Morning Sessions (circle your choice) 8:00 AM - 12:00 PM
Friday Afternoon Sessions (select your choice) 1:30 PM 5:30 PM
Saturday Full-Day Sessions (circle your choice; Do not select any Saturday half-day sessions) 8:00 AM 5:30 PM
Saturday Morning Sessions (select your choice) 8:00 AM - 12:00 PM
Saturday Afternoon Sessions (select your choice) 1:30 PM - 5:30 PM
Additional Events
COMTA On-site Evaluator Training Workshop - Wednesday, September 17, 9:00 AM - 5:00 PM
Full Convention Registration
Includes Saturday Dinner Dance ticket and Thursday, Friday & Saturday continuing education. All other meals and functions are the responsibility of the registrant.
**Is this your first AMTA National Convention? If so, please indicate if you would like to attend the First Timer Luncheon on Thursday, September 18, 11:30am-1:00pm at no additional cost to your full convention registration fee. YES NO
Early Ed'itions-or-One 4-hour Course
One 8-hour Course-or -Two 4-hour Courses
Three 4-hour Courses-or-One 4-hour Course and One 8-hour Course
Pre-Convention Workshop (Tuesday and Wednesday)
Added Social Event Tickets
Purchase these tickets only for guests or if the event is not included in your registration fee. Please note that the Teachers Networking Lunch and the Host Chapter Events are not included in the full convention registration fee. Class-only registration does not include any social events.
Host Chapter Events (Please see details above)
Post-Convention Workshop (Sunday & Monday)
Some of your payment may be tax deductible as a charitable contribution. Please consult with your tax advisor. All proceeds from the Post-Convention workshop will benefit the Massage Therapy Foundation
TOTAL PAYMENT:
Payment Options Note: If you selected the volunteer registration and didn't sign up for any activities that have a fee, you can skip this step.
* Card Type:
MasterCard Visa Discover American Express
* Card Number:
* Card Security Code:
* Exp. Date:
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* Cardholder's Name:
Registration Confirmation If you register before Friday, September 5, 2008, confirmation of your registration will be sent to you prior to the convention. If you have any questions, please contact the AMTA Professional Development Department at 877-905-2700, ext. 143.
Registration Cancellation Policy All cancellations must be made in writing and submitted to AMTA. An administrative fee of $50 is assessed on all cancellations postmarked no later that September 5, 2008. A $75 administrative fee is assessed on cancellations postmarked between September 6, 2008 and September 16, 2008. Cancellations postmarked after September 16, 2008 and no-shows are not eligible for refunds. All cancellations must be submitted in writing to: AMTA National Convention, 500 Davis Street, Suite 900, Evanston, IL 60201-4695 or faxed to 847-864-1178.
Education Programs Waiver AMTA and the massage instructor have taken precautions to provide a safe environment; however, it is impossible to guarantee absolute safety. Successful completion of each AMTA course does not assume proficiency in a modality or business practice. Massage therapists have the responsibility for ensuring client safety by conducting a thorough intake, devising a treatment plan, working within their scope of practice and adhering to the AMTA Code of Ethics and Standards of Practice. Massage therapists are advised to practice the techniques prior to utilizing them in a clinical setting. I assume the responsibility for safety by complying with the instructors or staffs directions and by disclosing any contraindication to receiving a massage in class. I agree to release AMTA and my class instructor from all liability and responsibility for any injury, loss or damage suffered by me, my property or my clients as a result of knowledge that I have received from this course. Additionally, by signing this form, I agree to give AMTA permission to use my photograph in future communications and marketing materials, should my photograph be taken at the AMTA 2008 National Convention.
Yes, I am in agreement with the above statements
ADA Assistance Please have an AMTA representative contact me regarding assistive technology services at the convention.
Dietary Restrictions Yes, I have dietary restrictions. Please indicate major dietary restrictions
Please press Submit only once. Pressing Submit more than once can result in your credit card being charged multiple times.
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