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Kindly also provide us the following info and email them to Sam ( – Once we receive this info, we will email you an enrollment confirmation email.  Unless we receive this info, your enrollment is incomplete, so please email them to us asap.

Name to be used on the certificate with credentials:
Profession( PT/AT/DC etc)
Your Lic #
email address:
Alt. email address : 
Contact #(cell) :
Seminar Level, Date & Location  Enrolled for:
From Where Did you hear about this class (Facebook, Google, LinkedIn, Internet search, Email, friend, co-worker etc.) :


Thank you for your payment. The manual-handouts will be emailed to you a week before the class. Kindly note, that our emails are sometimes going to spam or trash folders, so please have a look at those places as well for our emails. ** In case you do not hear from us 5-days prior to the class, please get back to us asap.**

Class materials like needles etc, will be provided by us at the class free of cost.** Make sure to bring
1. earphones or headphones
2. a tablet or Ipad, laptop etc or any other device where you can watch online internet videos from our membership website. We will be referring to a lot of video files during the class to help us understand the course better.

Please read: Please do not make any flight, hotel bookings etc. right now. We will email you 2-3 weeks before the class. We will also email you a “seminar confirmation” email, and then you can make all the bookings. As seminars depend on lot of factors like local climate, host finalization, minimum no. of attendee count for class etc.. hence we need to wait and make sure that all this is covered before the class and its hassle-free for you all.

Alternate email is required: As we email out the manual and handouts, it may go to spam or get rejected by many university domains, servers etc. So we request you to help us with another email(gmail, yahoo etc) so that you get all our communication emails.* There is an inexpensive app called Muscle Trigger Points by Real Bodywork that we will use quite a bit. Go ahead and download it. It is a good reference. Essential Anatomy 5 by 3D4 Medical is a great anatomy app, worth your investment if you’re going to needle. We will use it a lot. Another app we use is Human Anatomy Atlas 19 by Visible Body. It’s a bit more expensive but I highly recommend it for detailed and interactive 3D review of any area you needle that you haven’t reviewed lately.* Gym clothes are a must. Tank tops help. Guys, briefs are easier to deal with than boxers for proximal adductor and hamstring attachments…up to you. Gals, bikini tops help for anterior and posterior trunk access. Many previous female attendees have suggested thongs for the gals to make piriformis and glutes easier to access. We will have gowns/towels available for draping as needed. We will try to make it through the weekend with as little embarrassment as possible.
*There are ALWAYS functional changes throughout the weekend! Take a minute now to note a functional deficit you have and which functional test reveals it best. We will be asking you to have your partner take a picture of that deficit before we start to assess progress as we go.
  • The courses are 3 days, Friday – Sunday. On Friday and Saturday, the course begins at 8 am and conclude by 7 pm. On Sunday the course begins at 8 am and we should conclude by 3 pm.

• You are responsible for your own lunch on all days. Meals will be not be provided. 
• All of our labs are experiential, which requires all attendees to perform dry needling as well as receive needles during the course.
• The seminar location, hotel, and travel information can be found on the registration page under each corresponding course dates.
• The manual and handouts will be emailed to you a week before the class. Printing is not required. You can use the soft copy and bring it to the class on a tablet, computer, iPad, etc. (In case you do not get the manual and handouts, please email us or text us at 919-307-7973)
• Class materials like needles etc will be provided by us at the class free of cost.
• Participants will need to bring a headphone, tablet or Ipad, laptop, etc or any other device where you can watch online internet videos from our membership website. We will be referring to a lot of video files during the class to help you understand the course better. 

Refer & Earn Opportunity:

We have a great opportunity for you to earn some $$. Refer our course to your friends, colleagues, co-workers, staff,  and all your contacts, and once they enroll, you get $$ refunded to your account.  For every referral, you earn $50.  So if you end up referring 5 people to the class, and they enroll, then they email us and let us know about your reference, you get the amount refunded back to your account after the class date. Thus, if you end up referring 10 people, and all of them sign up, you get $500 refunded. Hence refer more and earn more. There is no maximum limit. Last month, the highest earned by a participant was $300 (30 referrals), hence grab the opportunity.(**This is not applicable for host staff, host contacts, combo payments etc.)

In case you have any questions, please email us at   OR  text/call us at 919-307-7973, with your name and email.

Although we will supply everything you need for the course itself we suggest you consider ordering a starter kit now from our supplier now (so you will be ready to go on Monday after the class) by clicking this link.  You will notice two starter kits but starter kit #1 is all 1 clinician needs to get started.  You can delete the stim unit if you want to and order individual supplies from this site.  Scott will give you much more detail about supplies and our supplier during the course. Here is the link to purchase your starter kit: you plan to purchase the dry needling supplies, you can either use the link below to purchase it from our website or you can callPT United  . When you call them, please make sure to tell them that you are a student of TMR Seminars/Total Motion Release/Master Dry Needling Seminars. Here is the link to order from website: You can call them at :  480-788-6483 ————————————————————————