HOURS: SAT: 8:30 AM - 6 PM SUN: 8:00 AM - 12 PM

FEE: $2,500 for 50 live hours and 50 online hours. Payment plans are available.

LOCATION:UNIVERSITY OF WESTERN STATES8000 NE Tillamook Street Portland, OR 97213

EASY WAYS TO REGISTER:◗ Call DConline at 712-260-2507◗ Use the attached registration form

CONTACT DCONLINE3578 Hartsel Drive, Unit E #414Colorado Springs, CO 80920

PHONE. . . . . . . . . . . . . . . . . 712-260-2507FAX. . . . . . . . . . . . . . . . . . . . 719-494-8012EMAIL . . . . . . . . . . dconline@dconline.orgWEB . . . . . . . . . . . . . . . . . . . DConline.org

COORDINATOR:

Dr. William Moreau, DC, DACBSP®, CSCSChief Medical Officer at University of Western StatesFormer Vice President at the United States Olympic Committee

July 11-12, 2020 THE SPINE, CONCUSSION, AND TEAM PHYSICIAN CONCEPTS with William Moreau, DC, DACBSP®, FACSM

August 8-9, 2020 CHIROPRACTIC MANAGEMENT OF THE EXTREMITIES with Joel Dekanich, DC, BSN, MS, DACBSP®, CSCS

September 19-20, 2020EMERGENCY PROCEDURES (MANDATORY SESSION) with Kelly Shockley, DC, DACBSP®

October 17-18, 2020 CORRELATIVE CASE STUDIES IN SPORTS CHIROPRACTIC with Perry Williams, DC, DACBSP®

DConline brings you excellence in sports medicine education.

Certificate of AdditionalQualifications as a CCSP(Certified Chiropractic Sports Practitioner)

Accrediting Institution and CEU Provider:

For additional information on thisengaging program, call 712-260-2507or visit www.dconline.org.

Advance your career by obtaining a

Sports certified Doctors of Chiropractic annually net, on average, $35,000 MORE than their non-sports certified counterparts!

REGISTER FOR THE 2020 CCSP PROGRAM IN PORTLAND, OR

DConline classes are in no way associated with the ACBSP® in any shape or form. The success of your written project by the ACBSP® will depend on many considerations including but not limited to past learning experiences, preparation, and other immeasurable factors. The course is offered to you as a way to prepare for the written requirement with no guarantee of your individual outcome on the submission you provide. DConline is not affiliated with the American Chiropractic Board of Sports Physicians®, Inc. ACBSP®, CCSP® and DACBSP® are protected marks owned and maintained by the ACBSP®.

Accrediting Institution and CEU Provider:DConline is a PACE Recognized Provider.

DConline™ FAX BACK REGISTRATION FORM Please fill out the below information and email to dconline@dconline.org or Fax this form to 719.494.8012

or Mail to DConline, 3578 Hartsel Dr. Unit E #414, Colorado Springs CO 80920.

Please Print neatly so we can effectively help you.

NAME:

STREET ADRESS:

CITY: STATE: ZIP CODE:

Phone Number:

E-mail Address: (You MUST enter a valid email address)

Course Title(s):

Your enrollment ID will be assigned to you by DConline and sent to the e-mail address listed ABOVE.

Credit Card (Master Card, VISA or American Express)*

Name on Card:

CC Number:

Expiration Date:

CVV code

Print Credit Card billing address below ONLY if different than above address.

*DConline™ will NOT retain credit card information. This form is shredded after posting tuition charges.

Thank you for using DConline for your educational requirements.

We appreciate you and your business.