Spring 2016 Conference Flier

A Day in the Life of a Music Therapist…

 

April 16th, 9:00 AM- 5:00 PM

PRIMARY CHILDREN’S ECCLES OUTPATIENT SERVICES

SLC, UTAH


Register in 2 simple steps:

1-Fill out the online registration form below

2-Select from the payment options via PayPal below.
(You can also pay with cash or check at the door)


Registration Form

Contact Information

First Name

Last Name

Address

City

State

ZIP

Phone

Email


UAMT Member?
 Yes No


Preferred Form Of Payment

If paying with a credit card, please pay via the PayPal link on the following page after completing this registration*
Pre registration Fees: UAMT Members: $20 - Non UAMT Members: $45 - Students: Free - Optional lunch: $7 Day of fees, an addition $5


What Is Your Professional Designation?


What are your professional credentials?
select all that apply
 Undergraduate Student MT-BC SCMT Master's Student Master's Degree Doctoral Student Doctorate Degree


Where Is Your Current Place of Employment?


CBMT Number (for Board Certified Music Therapists)



Payment Options


Pre-Conference Registration Fee Options




Become a member/Renew your dues!