Chiropractor Registration Form
The Diagnosis and Treatment of Knee Disorders
Registration Form for October 12, October 19, and October 26, 2017
Please complete the following registration form.
When you have completed filling it out, you can:
- Register Online – Press the submit button. If you are registering more than one person, you will need to fill out the form multiple times.
- Register by Mail – Do not press the submit button. Instead, print out this page and mail to: Illinois Sportsmedicine, Attn: Amy, 1714 N Milwaukee Ave, Glenview, IL 60025. Please fill out a separate form for each person attending the seminar.
- Register by Phone – Call us at (847) 699-6810 X204 to register by phone. We will need to know the information that is listed in the form below.