Care & Prevention Registration

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Please fill out this form entirely.

If you have any questions pleas contact Jenna Walker @ 307-340-0631

Sports Medicine Pro's LLC

First Name *

Last Name *

email address (this is used to send course information to) *

Phone Number *

SSN or PTSB # (This is only needed if you want credit for the course.)

Location of C&P Course *

Course Option - please select 1 *

PTSB Certified Course (1.5 PTSB credits)

Refresher Course (No PTSB credits)

Payment Options *

Mail Check

Pay Online: https://sportsmedicinepros.square.site/s/shop

To pay online use the link below

https://sportsmedicinepros.square.site/s/shop

PAYMENT

Payment is due 1 week prior to course start date. If payment is not received student will not be allowed to continue in class until full payment has been made. If at the time, payment is made later student will not be given full credit for course. In the event you are not able to make the class you will be refunded 50%; if instructor is notified 3 days prior to course start date. Less than 3 days will be no refund.

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