Pediatric Certificate Program Registration

SOT® Pediatric Certificate Program

Kuala Lumpur, Malaysia

Early Registration

12 Monthly Payments: $275

Each registration is personally reviewed by Dr. Martin Rosen and Dr. Nancy Watson.

Before You Begin

Registration is complete after payment is received
You'll be redirected to checkout after submitting this form

What Happens Next

The course begins January 13, 2026
In-person seminars January 16-18, 2027
After you register and submit payment, your registration will be reviewed

First Name

Last Name

What Chiropractic School?

Professional Degree:

Chiropractor or Student?

Chiropractor

Student

Office Name

Address

Address Line 2

City

State

Zip Code

Country

Office Phone

Fax

Home Phone

Mobile Phone

Website

What do you hope to get out of this course?

How did you hear about us?

Chiropractic License Number

Chiropractic License State

NPI Or Social Security Number

Form submission[]

There are no refunds once you are accepted into the course

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