Expanding the View Workshop Registration
Sign up for the Northern Utah/Idaho Experiential Workshop being held on Saturday, January 25th, 2020 from 12:30-4:30 PM at BYU-I, Rexburg, ID.

Visit utahrectherapy.org/workshops for more information about this event.
Email address *
First Name *
Your answer
Last Name *
Your answer
Credentials
Check ALL that apply.
Email Address *
For the attendee. Please assure accuracy. For most people this is their work email address.
Your answer
Food Allergies
Check all that apply. Please keep in mind that we do our best to reduce the possibility of allergic reactions. List any severe allergies in the 'Other' option. For specific diet preferences, we encourage you to provide your own food.
Membership Verification
If different than above, please enter your name, email, and/or phone number as it would be found on our records. Failure to complete this section will result in Nonmember pricing.
Your answer
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This form was created inside of Utah Recreation Therapy Association.