Registration Form - 2025 Symposium - American Chiropractic Board of Sports Physicians

Attendee Personal & License Information

First Name

Last Name

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Personal Email

Business Email

Business Phone

Cell Phone

What state(s) are you licensed in? Please list all states where you are currently licensed to practice.

Please list your DC license number(s) for all states listed above. Please list all states then the corresponding license number(s) where you are licensed to practice.

Badge Information

Badge Name - How you want your name printed on your badge including any credentials/certifications?

List any credentials for display on your badge in the order you want them to appear on your badge (e.g. DC, CCSP®, DACBSP®, CSCS®, ATC).

What city and state abbreviation should appear on your badge?

I have reviewed and proofread my badge information and understand that badges will NOT be printed on site at the symposium.

Yes

Continuing Education Information: Completion Certificates

Do you require a CEU completion certificate for attending the 2025 Chiropractic Sciences Symposium from our CEU sponsor?

Yes

No

Do you require a CEU completion certificate from BOC?

Yes

No

Do you require a CEU completion certificate from NSCA?

Yes

No

Are you a DC student?

Yes

No

If you answered yes to the above question, please list the name of your college/program here.

Food, Lodging & Miscellaneous Information

How did you hear about the 2025 Chiropractic Sports Sciences Symposium?

Permission for the National Office to share your business contact information with the vendors that attended the event?

Yes

No

If you answered yes to the question above, what information would you like the national office to share with the vendors that attended the symposium to include name and email address.

By typing my name in the field below, I consent to allow the ACBSP to use my image in photographs taken at the 2025 CSSS in digital and / or print media. The photographs including my image may be used by the ACBSP at no charge; however, the image may not be sold, shared or reproduced by any party other than the ACBSP.

Symposium Registration Registration Options:

Below are the different symposium registration options.

Active Certificants / Exam Candidates: Wednesday: March 26, 2025 - Principles and Practices Workshop - Only

Early Registration $250

Late Registration $300

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

*No refunds for registration will be issued after 2/12/25

Active Certificants / Exam Candidates: Wednesday: March 26, 2025 - Principles and Practices Workshop & Thursday - Saturday: March 27 - March 29, 2025 - Symposium General Session

Early Bird $350

Early Registration $675

Late Registration $750

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Active Certificants / Exam Candidates: Thursday - Saturday: March 26 - 29, 2025 - Symposium General Session

Early Registration $550

Late Registration $650

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Active Certificants / Exam Candidates: Friday only: March 28, 2025 - Symposium General Session

Early Registration $350

Late Registration $400

General Session:
Friday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

Active Certificants / Exam Candidates: Saturday only: March 29, 2025 - Symposium General Session

Early Registration $350

Late Registration $400

General Session:
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

Full time faculty: Wednesday: March 26, 2025 - Principles and Practices Workshop - Only

Early Registration $250

Late Registration $300

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

*No refunds for registration will be issued after 2/12/25

Full time faculty: Wednesday: March 26, 2025 - Principles and Practices Workshop & Thursday - Saturday: March 27 - 29, 2025 - Symposium General Session

Early Bird $350.00

Early Registration $ 500.00

Late Registration $575.00

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Full time faculty: Thursday - Saturday: March 27 -29, 2025 - Symposium General Session

Early Registration $400.00

Late Registration $500.00

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Inactive / non-certificant: Wednesday: March 26, 2025 - Principles and Practices Workshop - Only

Early Registration $ 375

Late Registration $425

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

*No refunds for registration will be issued after 2/12/25

Inactive / non-certificant: Wednesday: March 26, 2025 - Principles and Practices Workshop - Only

Early Registration $ 375

Late Registration $425

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

*No refunds for registration will be issued after 2/12/25

Inactive / non-certificant: Wednesday: March 26, 2025 - Principles and Practices Workshop & Thursday - Saturday : March 27 - 29, 2025 - Symposium General Session

Early Bird $350

Early Registration $800

Late Registration $875

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Inactive / non-certificant: Thursday - Saturday : March 27 - 29, 2025 - Symposium General Session

Early Registration $700

Late Registration $775

General Session:
Thursday - 12:00 pm - 4:00 pm
Friday - 8:00 am - 3:00 pm
Saturday - 8:00 am - 6:00 pm

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

Inactive / non-certificant: Friday only: March 28, 2025 - Symposium General Session

Early Registration $475

Late Registration $525

General Session:
Friday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

Inactive / non-certificant: Saturday only: March 29, 2025 - Symposium General Session

Early Registration $475

Late Registration $525

General Session:
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

ATC / CSCS or other: Wednesday: March 26, 2025 - Principles and Practices Workshop & Thursday - Saturday : March 27 - 29, 2025 - Symposium General Session

Early Bird $350

Early Registration $450

Late Registration $550

The Principles and Practices Workshop (PPW) is geared towards the practical examination. This year the workshop will feature the following presentations: Emergency Procedures - 3 hour block; Special Populations - 1 hour block and Practical Refresher - Emergency Procedures - Hands on Component - 2 hour block

General Session:
Thursday - 12:00 pm - 4:00 pm
Friday - 8:00 am - 3:00 pm
Saturday - 8:00 am - 6:00 pm

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

ATC / CSCS or other: Thursday - Saturday : March 27 - 29, 2025 - Symposium General Session

Early Registration $400

Late Registration $500

General Session:
Thursday - 12:00 pm - 4:00 pm
Friday - 8:00 am - 3:00 pm
Saturday - 8:00 am - 6:00 pm

*No refunds for registration will be issued after 2/12/25

**Early bird pricing is non-refundable and only offered until 11/27/24

DC Student **Only for BOC and NSCA Credit**

Early Bird $25

Group discount $25 (Register 10 students get 1 free)

Early Registration $99

Late Registration $129

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

Sponsor a DC Student **Only for BOC and NSCA Credit**

Sponsor a student $99

General Session:
Thursday - Begins at 12:00 pm
Friday - Begins at 8:00 am
Saturday - Begins at 8:00 am

*No refunds for registration will be issued after 2/12/25

CPR Recertification Course (Thursday 7:30 am - 11:30 am)

$100

This course is for those individuals who have already earned their healthcare provider level CPR certification and need to renew to remain current. A portion of the course will be completed on-line. Hands on testing will be conducted at the symposium.

*No refunds for registration will be issued after 2/12/25

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Registration Form – 2025 Symposium

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