Registration — CFT - The Gillespie Approach

Please complete all fields in the following form to register for the CFT Global Training . Thanks!

Name *

Name

As you would like it to appear on your certificate

First Name

Last Name

I am registering for *

Email Address *

Phone *

Phone

Please provide the best contact number to reach you.

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Street Address *

City *

State *

If within the United States

Zip *

Your credentials

Emergency Contact Information *

Please include: name, relationship to you, & phone number

How did you hear about the class?

Select the description that applies to you. *

My intention for taking this course is to include the techniques learned in my professional practice , the scope of which allows me to collect a fee for service.

My intention for taking this course is to use the techniques taught exclusively on voluntary friends and family members for which I will not be collecting a fee for service.

Include your initials and today's date in the box below to confirm your understanding of the following: *

I have read and fully understand all payment and refund instructions. This hands-on workshop is offered for purposes of learning only. It is not intended to address any participant’s individual needs or health concerns. By registering for this workshop I affirm that I am in general good health in mind and body and am attending for purposes of personal skill enhancement. I recognize that participation in this program will include giving and receiving bodywork with other participants. I do this in good faith, at my own risk, and will not hold instructors, participants or the hosting facility responsible for outcomes related to this workshop activities.