Conference Course Registration Form

Please fill out the following information and then click “Continue to Payment.”  You will then be redirected to our credit card payment processor, PayPal.

If you have any questions about registering for this course please contact Nicole Kinney, HAPTA Executive Director at nicole@hapta.org or (800) 554-5569 x13. Thank You!

MEMBER RATES: All APTA members are eligible for discounted member rates, regardless of chapter membership. You must be a member in good standing as of the date of the conference to be eligible for all member rates. Registrants who have a membership expiration date prior to the conference must provide proof of membership before the conference begins or they will be subject to paying the nonmember rate. New APTA members who do not yet have a member number must submit a copy of their membership application form or emailed confirmation to receive the member rate. OTs and OTAs may register for courses at the member rate only if proof of AOTA membership accompanies their registration form or is received via email to info@hapta.org prior to the conference OTs and OTAs who do not provide proof of membership prior to the conference will be subject to paying the nonmember rate.

CANCELLATIONS & SUBSTITUTIONS: To cancel, email HAPTA at info@hapta.org or call (800) 554-5569 x13. Cancellations received by October 4, 2018 will receive a full refund minus a $25 cancellation fee. Cancellations received between October 5 and October 26, 2018 will receive a 50% refund. There will be no refunds after October 26, 2018. Unless there is a waiting list for the course, substitutions will be accepted at no charge until October 26, 2018. All substitutions must be for the same member type and rate and are at the discretion of HAPTA staff. No substitutions will be accepted after October 26, 2018 or if the course has a waiting list.

PLEASE NOTE: 3-DAY COURSE OPTION IS FULL AGAIN
Unfortunately, we have limited space available for the 3-day course option and all registrant seats are currently filled. If you would like to be added to the wait list, please email nicole@hapta.org with your contact information. If an opening occurs, seats will be filled from the wait list in the order they were received. Any unauthorized registrations received for the 3-day course while there is a waitlist will be cancelled and your money will be refunded.

2018 HAPTA Conference Course Registration Form
If You Can't Breathe, You Can't Function - Mary Massery, PT, DPT, DSc

Registrant Name
APTA Member?
Type PT
PTA
OT
OTA
APTA Member Number If applicable.
Options
TOTAL COST:     Please select membership type.
Contact Information:
Registrant Address:
Registrant City, State Zip:
Registrant Phone:
Registrant Email:
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