Please print the form, fill it in and mail it with your registration fee to the mailing address below.

 

Body Balance and Beyond Inc.

Physical Rehabilitation & Wellness Center

 

Registration Form 

  

 Complete Scoliosis Program (CSP)

 

Name:                            

 

Address:                         

 

City:                               

 

State:                              

 

Zip:                                   

 

Phone:                             

 

E-mail:                              

 

Course name:              

 

Please make check payable to Body Balance and Beyond Inc.

Confirmations and Cancellations:

Confirmation of registration will be sent via e-mail after successful collection of funds. Request for   cancelation must be received in writing by fax or mail fifteen (15) days prior to the course in order to receive a refund less a $50 administration fee per canceled registrant. No refund will be given for cancellations received within fifteen days or less. A credit voucher will be issued that may be used toward a future seminar. There will be no refund for not attendance. Body Balance and Beyond Inc.   reserves the right to cancel or reschedule the course  due to an insufficient number of registrants or other unforeseen circumstances. Under these circumstances, registration fees will be refunded. We are not responsible for hotel, airline or other expenses incurred.

 

Mail to:                 Body Balance and Beyond 

1527 South B Street 

San Mateo, CA 94402 

 


Additional registrants:

 

Name:                            

 

Address:                         

 

City:                               

 

State:                              

 

Zip:                                   

 

Phone:                             

 

E-mail:                              

 

Course name:              

 

 


Name:                            

 

Address:                         

 

City:                               

 

State:                              

 

Zip:                                   

 

Phone:                             

 

E-mail:                              

 

Course name:              

 

Phone: (650) 638-1988                      Fax: (650) 638-0788