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Registration for Claudia's Acupuncture Events
Please use this form to register for acupuncture and other events hosted by Claudia Citkovitz
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Registration Information
Which Event are you registering for?
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October 15-16, 2022 Basic Bodywork ($240; $120 student/sliding scale)
October 15 only - full weekend registrants will be given priority ($150; $80 student/sliding scale)
Please check here to request a work/study option to reduce the student/budget rate
Other:
Would you like for Sirius to contact you about guest lodging?
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First Name
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Last Name
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Business Name (if applicable)
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Address
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City
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State/Province
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Zip/Postal Code
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Phone Number (Cell)
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Email Address
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How did you find us?
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Check as many are applicable. Use the "other" box to write in additional details if desired.
Healthy Seminars
NESA
PCOM
OCOM
ACTCM
Class taught in...
Referred by friend/colleague named...
Facebook
Other:
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(1) Registration is not complete until you complete payment and receive a confirmation email from our office. (2) Payment can be made via Venmo (@claudia-citkovitz) or Paypal (
studyingpractice@gmail.com
), or email me to mail a check. (3) All participants in bodywork classes must provide proof of COVID-19 vaccination and at least one booster. (4) We will all test before class each morning. Please bring 2 tests, or they can be purchased for a nominal $10 fee.
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