Workshop Registration Form | Professional Development from Body Therapy Institute and The Center for Embodied Education

Name*

First Name Last Name

Address*

Mailing Address City State Zipcode

Email*

Enter Email Confirm Email

Primary Phone*

Secondary Phone

Professional Status*

State Massage License number (if applicable)

Workshop Selection*

Workshop Date*

» Any applicable discounts will be taken off the total workshop cost by the BTI Office.
» Do not use this Registration Form less than one week before the start of a workshop -- call BTI instead.

Payment Option - select one:*

Full Fee paid now
50% of the fee paid now as deposit; I authorize the balance to be charged to my credit/debit card 14 days before the start date of the workshop.

I am a BTI Graduate*

YES
NO

CARD TYPE (Credit or Debit Cards accepted)

Name on Card*

Card Number*

Expiration Date (mm/yy)*

Card Security Code*

Registration Policy

Registrations for all BTI workshops are taken on a first-come, first-served basis. All events have limited enrollment, and many workshops fill up quickly. Payment must be received in order to reserve your space.

TWO WAYS TO REGISTER:
» Pay the full workshop fee -- [OR]
» Pay a 50% deposit on the workshop fee, with the balance paid at least 14 days prior to the event.

Those who are paying by credit or debit card and choose the 50% deposit option shall have the balance of the workshop fee automatically charged to their card 14 days before the event.

If you’re paying with a credit or debit card, you may register online or by phone. If you prefer to pay with a personal check or money order, you may print out the online form and mail it to BTI. Cash is NOT accepted for any workshop registration. You will receive a confirmation of registration by email.

Cancellation and Refund Policy

If you cancel your registration at least 14 days prior to an event, you’ll receive a full refund, with no questions asked. If you cancel your registration with LESS THAN 14 days to an event – for any reason – no refunds or credits towards future workshops will be given.

Notice of cancellation shall be made by phone or in writing. Written notice shall be delivered to BTI via email (ce@bti.edu), fax, regular mail, or private carrier. The date of cancellation shall be considered the actual date such notice is received at the BTI Office. Refunds for credit/debit card payments shall be made within 5 business days; payments by check shall be refunded within 10 business days.

If you have any questions about these policies, email ce@bti.edu or call the BTI Office at 919-663-3111.

By clicking below, I acknowledge that I have read, and agree to the terms stated here. *

I Agree

Before submitting this registration, you may view our Privacy Policy.