Pediatric Advanced Therapy Continuing Ed Payment Form

Pediatric Advanced Therapy Continuing Ed Payment Form

Course Title: Treatment of Motor Issues in Children with Sensory Dysfunction
Course Dates: March 20-21, 2026
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
Your Discipline

OTPTSTOther
AOTA/APTA/ASHA Number:

Payment

Individual Registration$425.00

Groups of 3 or more (price per person)$375.00

Prior PAT Employees$350.00

Total $0.00

Credit Card

For groups of 3 or more, please list all people attending
PAYMENT INFO

Please email Beth Lappin to let us know if there are any accommodations that we can provide to ensure the course is a successful one for you. Email bethl@patkids.com
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