October 15th iSpine Chiropractic CE Seminar Online Registration Survey

1.First Name(Required.)

2.Last Name(Required.)

3.Email(Required.)

4.Clinic Name(Required.)

5.City(Required.)

6.Primary Phone Number(Required.)

7.Minnesota License Number(Required.)

8.Is this your first time attending an iSpine CE seminar?(Required.)

Yes

9.I acknowledge that I am registering to attend the CE Seminar in-person. If I choose to attend online instead, I will need to reregister to attend online on the iSpine website.(Required.)

Yes, I understand.

10.I understand that there is limited space for in-person attendees. I acknowledge that Anna will send me a confirmation email on Friday, October 9th, and I must respond to verify my attendance. If I do not reply to Anna's email by the deadline, my seat may no longer be reserved.(Required.)

Yes, I understand

11.Anna will be ordering box lunches for each attendee. Please make your selection below. Your name will be on your box lunch when you arrive.(Required.)

Cashew Chicken Sandwich: Tender chicken breast blended with mayonnaise, sweet celery, and onions on lettuce, topped with cashews. Served on Sourdough bread with a pickle and chips

Granny Apple Turkey Sandwich: Tangy sliced green apples, Havarti cheese, lettuce, and our famous apple cider vinaigrette dressing on top of our oven-roasted turkey breast. Served on Honey Wheat bread with a pickle and chips.

The Italian Sandwich: Salami, Pepperoni, and Ham with pepperoncini, lettuce, tomato, provolone cheese and Vidalia onion dressing. Served on Sourdough bread with a pickle and chips.

Vegetarian Sandwich: Mushrooms, cucumbers, vine-ripened tomatoes, sprouts, roasted red peppers, and avocados on lettuce with cheddar cheese and pesto mayonnaise. Served on 13-Grain bread with a pickle and chips.

Cobb Salad: Grilled chicken with bacon, hardboiled egg, and bleu cheese crumbles on fresh salad greens.

Southwest Chicken Salad: Grilled chicken, corn, black beans, tortilla strips, cheddar cheese, and avocado on top of fresh salad greens.

The Vegan Salad: Chopped romaine with quinoa, cherry tomatoes, cucumbers, black beans, tortilla strips, red peppers and avocado slices, served with white balsamic dressing and sourdough bread.

NO MEAL

Send me a copy of my responses via email

October 15th iSpine Chiropractic CE Seminar Online Registration

Thursday, October 15th, 2026, 12:00 - 2:00 pm