Webinar Registration

STUDENT REGISTRATION FORM

4 SATURDAYS: THE CHIROPRACTIC STUDENT, VIRTUAL ASSOCIATESHIP WEBINAR SERIES

(OCT 2025: 10/04,10/11,10/18,10/25 8:30AM – 1:30PM EST)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Cell Phone(Required)

Are you currently a student or practicing?(Required)

Student

Practicing

School(Required)

Expected Graduation Date(Required)

Practicing State(Required)

State

How would you like to pay?(Required)

Upfront - $375

Split - $200 now and an additional $200 before first class.

We offer two options for payments. If you make one upfront payment the cost of the webinar is $375 or you can split the cost into two $200 payments.

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