American Association of Equine Therapist and Technicians
2020 Conference Pre-Registration List
Please provide AAETT with a little information about yourself and
your interests.
Your Name
*
First Name
Last Name
Your Phone Number
*
-
Area Code
Phone Number
Your E-mail
*
example@example.com
Your General Location
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you currently operate an Equine related business
*
Yes
No
Short description about your equine business:
Please tell us the name of your business and a brief description
Which term best describes you? (Please choose one)
*
Licensed Vet
Registered Vet Technician
Vet Student (enrolled)
Farrier
Trainer
Competitor
Groomer
Handler
Stable Owner
Unlicensed Equine Care Specialist
Licensed Equine Therapist (State Racing Commission License
Other
What modalities are currently employed in your business? (Please mark all that apply)
*
PEMF
Lasers
Vibration Therapy
Shockwave
Ice Compression
Electrostimulation
Body Work
Massage
Acupuncture
Chiropractic
Herbal Remedies
Homeopathy
Kinesology Taping
Other
What courses and/or wet-labs are your interested in?
Are you interested AAETT's Credentialization Program for Equine Therapists and Technicians?
*
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Not very Important 🤔
You Betcha! Where do I sign up? 👨🏼🎓👩🏼🎓
1 is Not very Important 🤔, 5 is You Betcha! Where do I sign up? 👨🏼🎓👩🏼🎓
Are you interested becoming an AAETT Member?
*
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2
3
4
5
Not very Important 🤔
You Betcha! Where do I sign up? 👨🏼🎓👩🏼🎓
1 is Not very Important 🤔, 5 is You Betcha! Where do I sign up? 👨🏼🎓👩🏼🎓
What Yearly Membership program would you be interested in?
*
Not interested in Membership
$50.00 per year (Basic Membership)
$100.00 per year (includes Conference discounts)
$150.00 per year (includes access to our private Facebook group)
$250.00 per year (includes business listing and mapping)
$275.00 - (requires participation on an AAETT Committee)
Are you interested in contributing to AAETT by volunteering your time, energy and work experience to any of following committees?
Achievement Committee
Bylaws Committee
Communications Committee
Conference Coordinating Committee
Credentialing Committee
Cultural Exchange Committee
Donor Committee
Education Committee
Educational Partner Committee
Equine Research Committee
Executive Committee
Farrier Relations Committee
Finance Committee
Horse Owner Education Committee
Leadership Development Committee
Legal Committee
Member Services/Membership Committee
Nominations and Elections Committee
Pre-Credentialing Education Committee
Public Relations/Marketing & Advertising Committee
Rules Committee
Sponsorship Committee
Please share your work related experience that prepares you for the above selected Committees:
Do you have any questions or comments? Enter them below!
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