**To print, click on 'Ctrl' + 'P' on your keyboard, or under the 'File' menu, select 'Print'

INJURIES IN THE RUNNING ATHLETE
A Two-Part Series on the Diagnosis, Cause, Prevention and Rehabilitation of Running Injuries
November 4th & 5th , 2005 Victoria, BC

Registrations can be processed by fax or mail.

Name: _______________________________________________________________

Mailing Address: _______________________________________________________

                         _______________________________________________________

                         _______________________________________________________

Work and/or Home Phone: (w) ____________________________________________

                                        (h) ____________________________________________

Email Address: ________________________________________________________

Cheques Payable to:
Somatic Senses:
Health & Human Performance Ltd.
2108 Nicklaus Drive Victoria, BC, Canada V9B 6T2

Payment by Fax (250 483 1515) - VISA or MASTERCARD

Card Type: ___________________      Card #: _______________________________

Expiry Date: ___________   Signature: _____________________________________

Registration Fee
Coaches, Athletes, etc (Friday, Nov 4): By noon Oct 14 $20 After noon Oct 14 $30
Health Pro's (Fri,Nov 4th & Sat, Nov5th): By noon Oct 14 $75 After noon Oct 14 $90

For more information contact: ph: (503) 256 6326 or seminars@somaticsenses.com
*Credit Card Payment - please note that an imprint and signature will be required upon seminar check-in. Credit Cards will be checked for approval upon registration, but not processed until the initial date of seminar.