Barcelona,SpainApril 14-15, 2018 Hotel Pullman Barcelona Skipper

SYMPOSIUM ON CHIROPRACTIC & PEDIATRICSPresented by: ICA Council on Chiropractic Pediatrics

Co-sponsored by: Asociación Espaňola de QuiroprácticaExceptional program for the Chiropractor caring for infants, children and pregnant women

7 committed and dedicated chiropractors with extensive practice/teaching experience and advanced specialty education.

Variety of practical topics designed to expand the clinical skills of the chiropractic practitioner in the analysis, diagnosis and treatment of pediatric and pregnancy patients.

Simultaneous translation into English, Spanish and French.

LORA TANISDC, DICCP

New Jersey, USA

SHARON VALLONEDC, DICCP, FICCP

Connecticut, USA

STEPHANIE O’NEILL BHOGALDC, DICCP

California, USA

RAMNEEK BHOGALDC, DABCI

California, USA

VALERIE KLINGELSCHMITTDC, MSc(Paeds)

Paris, France

MEGHAN VAN LOONPT, DC, DICCP New York, USA

CHANTAL DOUCET,DC, DICCP

Quebec, Canada

Register by February 15, 2018 www.icapediatrics.comFor Early Bird Rate

REGISTRATION FORMICA Council on Chiropractic Pediatrics

BUILDING BRIDGES SYMPOSIUMApril 14-15, 2018 Barcelona, Spain

1st Registrant (First name):______________________________ Surname:______________________________

2nd Registration (First name):____________________________ Surname:______________________________

Professional credential:________________________________________________________________________ (DC, MS(Chiro) etc):

Mailing Address:_____________________________________________________________________________

City:______________________________________________________________________________________

Country:______________________________________ Postal Code:_____________________________________

Phone: _______________________________________ Fax: _________________________________________(include country code/area code): (include country code/area code):

Email: _____________________________________________________________________________________ (Important: All confirmations/communications will be via email):

Chiropractic college of graduation: ______________________________________________________________

Year of graduation: ___________________________________________________________________________

.

Credit card Mastercard Visa American Express

Account #____________________________________Expiration date:_______________Security Code:_______

Bank Fees: Please note that your credit card will be charged in USD. The Council does not charge a fee for processing registrations with a credit card. If there are any fees noted on your credit card statement related to this registration they are charged by your bank and not by the ICA Pediatrics Council.

Cancellation policy: Cancellations must be in writing and emailed to pediatricscouncil@chiropractic.org.

Refunds will be charged an administrative fee of $50USD. After April 1 no refunds.

THREE WAYS TO REGISTER: Online: www.icapediatrics.com By Fax: 001+ 703-351-7893

By email: Scan and email to: mrangnath@chiropractic.org or pediatricscouncil@chiropractic.org

REGISTRATION FEESRegistration fee includes LUNCH on BOTH days in addition to morning and afternoon refreshments.

Early Bird Regular Late

Before Feb 15 April 14-15Doctor of Chiropractic $575 USD $695 USDDC Member, Associación Española de Quiropráctica $525 USD $645 USDDC Member, ICA or ICA Pediatrics Council $525 USD $645 USD

*Student $200 USD $320 USD

*Students must provide proof of enrollment. Registrants in postgraduate programs but already graduated with a doctor of chiropractic degree must register at doctor rate.

*Student, Member AEQ or ICA $150 USD

Feb 16- April 13 $645 USD$595 USD $595 USD $220 USD $270 USD

$270 USD