Reservation Form

Instructor/Contact*
Email*
Phone*
Organization*
Website*
Are you partnering to teach with AAHB or renting space for your own class?*
Dates and times requested
Date
Time

: HH

MM
Workshop Leader Name (if different than contact person):
Workshop Title
Type of class (ie: massage, bodywork, etc.)
# CEUs (if applicable)
NCBTMB Provider Number (if applicable)
# of Participants (max 50)
Classroom or equipment requests (projector, music system, tables, chairs, massage tables, etc.)
Price of class
What is included in price
Additional comments, requests or items you want to include?

Dates and times requested