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Registration: Movement Moments Infant Massage: Untying the Infant Body - 3 Day Intensive

Fill out the information below to register.

Early Bird: $315; Regular: $395

Frenulectomy Providers, Students & those wanting to use Venmo or Zelle for payment,

email mib.lmbt@gmail.com to Register

First Name

Last Name

Birthday

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

What is your Professional Designation?

What is your license or certification number?

Do you Currently Work with Infants & Babie?

Yes

By clicking this box, I acknowledge and I understand that this class educates many different types of providers and that some of the the infomation obtained may fall outside my scope of practice. I agree to practice only what falls within my specific scope of practice. Should I have questions pertaining to my scope, I can consult my state or other governing body or reach out to the instructor for assistance. I ackowledge that a signed waiver will be requird prior to the start of class.