For Presenters

Name *

First Name

Last Name

Cell Phone Number

(###)

###

####

Mailing Adress *

Used to send your honorarium and printing reimbursement (if applicable)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Presentation Format *

Definitions: >> Hands-On: If you will have some lecture but at least 1/2 of the class will be spent hands-on >> Lecture: You will have no hands-on components for attendees >> Experiential: You are teaching a class that gives attendees an interactive experience, but no hands-on practice (like stretching, yoga, other self-care) >> Other: Choose this option if none of these fit (rare)

Hands-On

Lecture

Experiential

Other