2024 Symposium Registration - Portland, Oregon - American Chiropractic Board of Sports Physicians

Attendee Personal & License Information

First Name

Last Name

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Personal Email

Business Email

Business Phone

Cell Phone

What state(s) are you licensed in? Please list all states where you are currently licensed to practice.

Please list your DC license number(s) for all states listed above. Please list all states then the corresponding license number(s) where you are licensed to practice.

Badge Information

Badge Name - How you want your name printed on your badge including any credentials/certifications?

List any credentials for display on your badge in the order you want them to appear on your badge (e.g. DC, CCSP®, DACBSP®, CSCS®, ATC).

What city and state abbreviation should appear on your badge?

I have reviewed and proofread my badge information and understand that badges will NOT be printed on site at the symposium.

Yes

Continuing Education Information: Completion Certificates

Do you require a CEU completion certificate for attending the 2024 Chiropractic Sciences Symposium from our CEU sponsor?

Yes

No

Do you require a CEU completion certificate from BOC?

Yes

No

Do you require a CEU completion certificate from NSCA?

Yes

No

Are you a DC student?

Yes

No

If you answered yes to the above question, please list the name of your college/program here.

Food, Lodging & Miscellaneous Information

Will you be attending the awards luncheon on Saturday? If you answer no to this question, you will NOT be admitted to the luncheon. Please note there is a fee for attending the luncheon under the registration section.

Yes

No

If you plan on attending the luncheon, are there any food allergies, sensitivities or restrictions we should be aware of so we can let the hotel know? If so, please list them below.

Are you planning on staying at the Portland Marriott Downtown Waterfront hotel where the symposium will take place? Please note that the ACBSP has a group reservation. Here is the website https://book.passkey.com/go/acbsp424 for the hotel to make your reservation. Please be sure to ask the hotel for the ACBSP group rate.

Yes

No

If you're staying at the symposium hotel, how many nights are you staying? Please enter the number below.

How did you hear about the 2024 Chiropractic Sports Sciences Symposium?

Permission for the National Office to share your business contact information with the vendors that attended the event?

Yes

No

If you answered yes to the question above, what information would you like the national office to share with the vendors that attended the symposium to include name and email address.

By typing my name in the field below, I consent to allow the ACBSP to use my image in photographs taken at the 2024 CSSS in digital and / or print media. The photographs including my image may be used by the ACBSP at no charge; however, the image may not be sold, shared or reproduced by any party other than the ACBSP.

Symposium Registration & Luncheon Registration Options:

Below are the different symposium registration options. You MUST register to attend the awards luncheon below also if you plan on attending.

Active Certificants / Exam Candidates: Wednesday: April 3, 2024 - Principles and Practices Workshop - Only

$300

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

Active Certificants / Exam Candidates: Wednesday: April 3, 2024 - Principles and Practices Workshop & Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$750

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Active Certificants / Exam Candidates: Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$650

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Active Certificants / Exam Candidates: Saturday only: April 6, 2024 - Symposium General Session

$400

General Session:
Saturday - Begins at 8:00 am

Full time faculty: Wednesday: April 3, 2024 - Principles and Practices Workshop - Only

$300

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

Full time faculty: Wednesday: April 3, 2024 - Principles and Practices Workshop & Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$562.50

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Full time faculty: Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$487.50

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Inactive / non-certificant: Wednesday: April 3, 2024 - Principles and Practices Workshop - Only

$425

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

Inactive / non-certificant: Wednesday: April 3, 2024 - Principles and Practices Workshop & Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$875

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Inactive / non-certificant: Friday - Sunday: April 5 - 7, 2024 - Symposium General Session

$775

General Session:
Friday - 12:00 pm - 8:30 pm
Saturday - 8:00 am - 6:30 pm
Sunday - 8:00 am - 12:15 pm

Inactive / non-certificant: Saturday only: April 6, 2024 - Symposium General Session

$525

General Session:
Saturday - Begins at 8:00 am

DC Student

$250

General Session:
Friday - Begins at 12:00 pm
Saturday - Begins at 8:00 am
Sunday - Begins at 8:00 am

Awards Luncheon (Saturday)

$125

Please join us at the awards luncheon where the 2024 SCOTY award recipient will be announced.

The luncheon will be served buffet style.

Awards Luncheon (Saturday) - additional luncheon ticket

$125

Please join us at the awards luncheon where the 2024 SCOTY award recipient will be announced.

The luncheon will be served buffet style.

CPR Recertification Course (Friday 7:30 am - 11:30 am)

$125

This course is for those individuals who have already earned their healthcare provider level CPR certification and need to renew to remain current. A book is provided with this course.

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2024 Symposium Registration – Portland, Oregon

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