Instructor Certification Registration

You are here: Home / Instructor Certification Registration

Full Name *

Email Address *

Position

DC

Staff

Student

Other

Address

Phone Number

How should we contact you?

Email

Mail

Phone

Choose your seminar date

August 3-4th in in Santa Cruz, CA

$595 (early registration – two weeks prior)$695 (within 2 weeks/at the door)

Credit Card

Mastercard

Visa

Credit Card Number

Expiration Number

CVV 3-digit code on back of card

Your Message