Dyspareunia Registration Form

Please fill out the form below and follow registration instructions

Dyspareunia, including Vulvar Vestibulodynia

Course Dates and Times

October 18-20, 2019

Friday 4PM – 8PM
Saturday 8AM – 4PM
Sunday 8AM – 4PM

Tuition: $700.00 + 5% GST ($735.00)
Early Bird: $650.00 + 5% GST ($682.50, on or before July 18, 2019)

Student Tuition: $600.00 +5% GST ($630.00)

Use coupon code student100off
Maximum 4 student spaces per course
Confirmation of active enrollment in a physical therapy program is required.

Cancellation Policy

Course tuition is non-refundable unless the following criteria are met:

100% reimbursement less an administration fee of $75.00 is given if written notice is received by Pelvic Rehab Courses 6 weeks prior to the start date of the course.

50% reimbursement less an administration fee of $75.00 is given if written notice is received by Pelvic Rehab Courses 4 weeks prior to the start date of the course.

No reimbursement will be provided if the registrant cancels 4 weeks prior or closer to the start date of the course. However, if you would like to sell your spot to another Registered Physiotherapist or physical therapy student then you may do so. Coordinating of payment is the sole responsibility of the participant (the Seller) and the selling price must be the exact price paid to Pelvic Rehab Courses or less (i.e. seats in the course may not be sold for more than the participant paid). The original participant (the Seller) must notify Pelvic Rehab Courses of the sale and provide contact details for the new participant (the Purchaser; i.e. full name, phone number, and email address). Pelvic Rehab Courses has no liability in this interaction and transaction.
For cancellation of a course purchased with a multi-course deal: Please contact Pelvic Rehab Courses for confirmation of the amount to be reimbursed. The amount reimbursed will depend on when you are canceling (i.e. within the 100% reimbursement timeframe, or the 50% reimbursement timeframe) and the amount you paid (i.e. 2-course or 3-course pricing). In all cases, the reimbursement will be calculated as follows: (1) the amount paid (2) less the full fee for the course(s) the participant has already taken or will be taking (3) less GST and (4) less a $75 administration fee.
Course organizers reserve the right to cancel the course if the minimum number of participants is not reached.

Assumption of Risks and Responsibility

Course attendees freely and voluntarily accept and assume all risks and the possibility of personal injury resulting from the attendance at Dayan Physiotherapy Pelvic Rehab courses and any other related activities during this event. Course attendees accept responsibility to abide by the laws of the country, to ensure that they have adequate medical coverage, protect personal possessions, and obey all the rules set out at the courses.

Liability Waiver

Course attendees indemnify and save harmless Marcy Dayan and Pelvic Rehab Courses from any and all actions, expenses or losses whatsoever which they may bear as a result of their participation in Pelvic Rehab Courses and utilization of knowledge and skills gained from Marcy Dayan and/or in Pelvic Rehab Courses, by reason of damage to any and all property and any and all personal injuries.
Course organizers reserve the right to cancel the course if the minimum number of participants is not reached 3 weeks before the course start date. If the course is cancelled full tuition will be reimbursed. All other costs incurred by a course registrant remain the full responsibility of the course registrant.