Host a Seminar
11/06/21 Online Workshop
12/04/21 Online Workshop
Lymph Seminar Online Registration
Networking and Educational Workshop for Lymphedema Therapists
December 4, 2021
Hospital / Business Affiliation
BUSINESS Street Address
HOME Street Address
How do you plan to pay?
need a PayPal account to use a credit or debit card. Select this option and click the gray "Pay with Debit or Credit Card" button below the PayPal button once you get to the actual PayPal page.
Check by Mail
Workshop Fee is $195 (7 Contact Hours)
If you attended the November Workshop,
when you register for December!
(Please fill out separate form
CONSENT For photographs, film/video, recordings and written articles (stories):
I authorize Lymphedema Seminars to make photographs, film/videos or electronic recordings of me and to publish or otherwise use information about me.
I understand and agree that the films/videos, photographs, recordings and information may be used for publication and for other Lymphedema Seminars publication/productions in the future.
I do not place any limit on the period of time in which the photographs, films/videos, recordings or information may be used.
I understand that I will not receive any payment from Lymphedema Seminars as a result of the distribution, showing or other use of these photographs, films/videos, recordings or information.
I give my consent with the understanding that I may or may not be identified by full name in any photographs, films/videos or recordings which are made.
I understand the photographs, films/videos or recordings are owned by Lymphedema Seminars.
BY MY REGISTRATION FOR THE WORKSHOP, I CONSENT TO ALL THE ABOVE!
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