Intro to Hendrickson Method® 
(Low back & Neck)
Los Angeles   June 2, 2018 10am-5pm

Hello!  I'm thrilled to offer this intro class to the Hendrickson Method® of orthopedic massage and manual therapy. This remarkable therapy has enabled hundreds of therapists to be more effective, comfortable and confident in providing life-changing treatment for orthopedic conditions.  To enroll, please complete this application and make payment of the $147 course fee.  We look forward to receiving your application, and getting back to you with confirmation of your acceptance into enrollment!   
Warm regards,
Craig Harris, Hendrickson Method® Instructor


** If you have any questions or problems completing this application,
     please contact us at: training@HarrisManualTherapy.com **

APPLICATION
1.FIRST Name(Required.)
2.LAST Name(Required.)
3.EMAIL(Required.)
4.CELL phone(Required.)
5.WORK phone
6.HOME phone
7.ADDRESS(Required.)
8.OCCUPATION(Required.)
9.COMPANY NAME
10.WEBSITE
11.List your EDUCATIONAL background in health areas, including anatomy and manual therapy.  (Feel free to drag the bottom right corner to size this field)(Required.)
12.List your professional EXPERIENCE in the health professions, including manual therapy, movement, or related work.  (Feel free to drag the bottom right corner to size this field)(Required.)
13.I am applying for (choose all that apply):(Required.)
Congratulations, you're done... almost! 
Please make payment of your $147 course fee.
Your payment now will begin the processing of your application and reserve your spot in the training, subject to approval of your application. (If there is not a spot for you in this training, your $147 payment will be refunded.)
14.I am making payment by:(Required.)
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CREDIT CARD INFO
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We accept Visa, MasterCard, and AmericanExpress.
15.NAME (as displayed on credit card)
16.CARD NUMBER
17.MMYY
18.CVV
We are so pleased you're applying to this training!   Please contact us if you have any other questions. 
HARRIS MANUAL THERAPY   (818) 454-1136    M-F 10a-4p    school@HarrisManualTherapy.com