Beyond Kegels - Portland, Oregon

"Beyond Kegels - Portland" Registration Form

Name *

Email *

Phone number *

Street address (e.g. 101 Main St.) *

City, State, Zip *

Occupation

Primary reason for taking course

Personal

Professional

Method of payment *

Paypal (use the link at the bottom of this page after registering)

Check made out to Restorative Exercise Inc. (Mail to: 310 Heath Road, Sequim, WA 98382. Consider yourself registered only when you receive a receipt back from us.)

Check here if you want to know about CEU's.

Comments (optional)

Checking this box means you agree with the following statement: I understand that my participation in this course is completely voluntary, and even though the exercises taught are gentle in nature, I accept any risks of injury that occur as a result of my participation in course. I am in charge of my own health and well being, and if I have any medical concerns I will consult a medical doctor before participating. *

Note: * Starred fields are required.

"Beyond Kegels - Portland" Payment Link

$99 Registration cost

The tuition for this course is $99.

Once you have confirmed your purchase, your name will be added to class roster.

Even though this form says "Shipping Time," nothing is going to be shipped to you.

To prevent any possible confusion, please bring your PayPal receipt on the day of the course.

Price: $99.00 Add to Cart

Available
Shipping Time: 1-3 days