Home
Up
Awards
Previous Conferences
Host MRPA

September 19-22 | Olive Branch, MS

Registration (printable version)

Name  
          First                      Last                                 E-mail 

 

Job Title         CPRP?     CTRS?

                 
Organization                                                             Daytime Phone


 ABilling Address
        

CSZip                                                                  Registration Package

FULL PACKAGE REGISTRATION:
Payment or Purchase Order Received...  By Aug18th After Aug18th
MRPA Professional Member $255 $275
MRPA Student Member $105 $105
Citizen Board Member $105 $120
Non-Member Professional $275 $290
Non-Member Student $120 $120

Non-Member registration comes with a complimentary one-year membership for first-time attendees, and CEU credits fees are included in professional registration.

DAILY PROFESSIONAL PACKAGE:
Payment or Purchase Order Received...  By Aug18th After Aug18th
Tuesday, September 20, 2011 $105 $125
Wednesday, September 21, 2011 $105 $125
Thursday, September 22, 2011 $55 $75

EXTRAS:
Wednesday Awards Banquet .......................... $ 35.00 each. Number of Tickets
Please note that Full Package registration includes one awards banquet ticket.
Payment or Purchase Order Received...  By Aug18th After Aug18th
AQ1: Aquatic Workshop: Introduction to Aquatic Therapy and Rehab $200 $275
AQ2: Certified Pool Operator® Certification Course $250 $300

GOLF TOURNAMENT& ALL-CONFERENCE SOCIAL:
All-Conference Social (Check if you will be attending the Monday night social.)
Golf Tournament Handicap  
Include a handicap if you'd like to enter the tournament. This is included in Full Package registration.

SPECIAL ACCOMMODATIONS:
If you require special services in order to fully participate, please provide a written description (e.g.., special diet, wheelchair transportation). Advance notification is required.

CANCELLATION POLICY: 
Requests for refunds must be made in writing to the MRPA administrative office. Requests received before 8/18/11, are subject to a $25 penalty. No refund requests will be accepted after this date.