ceu course form

Please fill out the form below then after submitting hit pay

Full Name

Phone

What type of work do you do?

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By registering for this course, participants acknowledge that hands-on manual techniques and partner-based practice are integral components of the training. As part of registration, all participants agree to a waiver of liability releasing Shara Ogin, the course instructor, from claims arising from participation in this course, including but not limited to injuries that may result from partner-based practice, manual techniques, or movement instruction.

Participants consent to practice techniques on fellow participants and to be practiced on in return. Completing your registration confirms your understanding and acceptance of this requirement. By checking this box and submitting your name above, you agree to the terms of this disclaimer.

After hitting submit click pay now below.

Pay via Venmo (@shara-Ogin – #6401 is last 4 digits phone),
Zelle (at sharaogin@gmail.com) or
via CC or paypal with the link below.

–Earlybird Price=$600 (through 60 day prior to course)
-Regular Price =$650
-“Hands-on” 50 min Sessions with Shara $150 add-on

Have questions? Call us at 415-999-6401

Holistic Physical Therapy

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