SOT Pediatric Certificate Program Registration Form

Thank you for your interest in the SOT Pediatric Certificate Program. This class is intended for chiropractors and chiropractic students. Each application is personally reviewed by Dr. Martin Rosen and Dr. Nancy Watson.

PLEASE READ FIRST

REGISTRATION IS NOT COMPLETE IF PAYMENT IS NOT RECEIVED. 

If you are interested in joining the program, please complete this form then complete your payment ASAP. 

This form is for Pay in Full at $2040.

CHIROPRACTIC STUDENTS ONLY