2025 Annual Meeting Registration

Name*

First NameLast Name

Preferred First Name

(This name will be printed on your badge)

Email*

example@example.com

Your Official Title*

Jurisdiction or Organization you represent*

Full official name

Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Business Phone*

Business Email*

example@example.com

Cell Phone*

(For emergency use only)

Emergency Contact Name*

First NameLast Name

Emergency Contact Relationship to Attendee

Emergency Contact Phone Number*

Allergies/Special Requests

Arrival Date*

Departure Date*

By registering for this meeting, I give permission to FSMTB to freely use my image or likeness in photographs or audio/visual recordings that may be taken during the Annual Meeting for the purpose of promoting FSMTB programs and services. I understand these images may be used on the FSMTB website, publications, social media, and other lawful purposes. I also consent to allow FSMTB to share my business contact information with other Annual Meeting attendees.*

YesNo

PLEASE NOTE: In celebration of our 20th anniversary, the FSMTB Board of Directors is sponsoring TWO members from each state board or agency to attend the 2025 Annual Meeting. In addition to your voting delegate, Member Boards can select an additional person to serve as the Alternate Delegate and attend this event with all expenses paid (registration, travel, meals, lodging).

Of course, all other members are always welcome to attend at a reduced rate (Select the "Non-Delegate Member" option).

Please select your registration type*

Voting Delegate Member ($0.00)Alternate Delegate ($0.00)Non-Delegate Member (Executive Director, Board Staff, Board Members, Board Attorney) ($350.00)Non-Member ($650.00)Speaker/Presenter ($0.00)FSMTB Board of Directors/Past Presidents ($0.00)Sponsor - Platinum, Gold, and Silver level ($0.00)Sponsor - Bronze level and Supporter of Public Protection ($650.00)

Please RSVP whether or not you plan to attend the following events at the Annual Meeting:

	Planning to Attend	Not Planning to Attend
Welcome Reception (Sunday, October 5 \| 5:30 pm)
Yoga (Monday, October 6 \| 6:45 am)
Breakfast (Monday, October 6 \| 8 am)
Lunch (Monday, October 6 \| 12:30 pm)
20th Anniversary Celebration Dinner (Monday, October 6 \| 5:30 pm)
Yoga (Tuesday, October 7 \| 6:45 am)
Breakfast (Tuesday, October 7 \| 8 am)
Lunch (Tuesday, October 7 \| 12:30 pm)

Please RSVP whether or not you plan to attend the following events at the Annual Meeting:

	Planning to Attend	Not Planning to Attend
Welcome Reception (Sunday, October 5 \| 5:30 pm)
Taste of KC Members Dinner (Sunday, October 5 \| 6:45 pm)
Yoga (Monday, October 6 \| 6:45 am)
Breakfast (Monday, October 6 \| 8 am)
Lunch (Monday, October 6 \| 12:30 pm)
20th Anniversary Celebration Dinner (Monday, October 6 \| 5:30 pm)
Yoga (Tuesday, October 7 \| 6:45 am)
Breakfast (Tuesday, October 7 \| 8 am)
Lunch (Tuesday, October 7 \| 12:30 pm)

Do you plan on attending the KC Post Meeting Tours?

YesNo

Please select the tour you would like to attend.

American Jazz Museum and Negro League Baseball MuseumBoulevard Brewing Company

Form of Payment (will be sent to the email address provided above)*

Credit CardInvoiceN/A

Credit Card Payment*

Voting Delegate Member

$ Free Quantity

Alternate Delegate Member

$ Free Quantity

Non-Delegate Member

$350.00 Quantity

Non-Member

$650.00 Quantity

FSMTB Board of Directors/Past Presidents

$ Free Quantity

Speaker/Presenter

$ Free Quantity

Sponsor - Platinum, Gold, and Silver levelPlatinum, Gold, and Silver level sponsorships include a specified number of meeting registrations. Please see Sponsor Prospectus for more info.

$ Free Quantity

Sponsor - Bronze level and Supporters of Public Protection

$650.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Federation of State Massage Therapy Boards

	Planning to Attend	Not Planning to Attend
Welcome Reception (Sunday, October 5 \| 5:30 pm)
Yoga (Monday, October 6 \| 6:45 am)
Breakfast (Monday, October 6 \| 8 am)
Lunch (Monday, October 6 \| 12:30 pm)
20th Anniversary Celebration Dinner (Monday, October 6 \| 5:30 pm)
Yoga (Tuesday, October 7 \| 6:45 am)
Breakfast (Tuesday, October 7 \| 8 am)
Lunch (Tuesday, October 7 \| 12:30 pm)

	Planning to Attend	Not Planning to Attend
Welcome Reception (Sunday, October 5 \| 5:30 pm)
Taste of KC Members Dinner (Sunday, October 5 \| 6:45 pm)
Yoga (Monday, October 6 \| 6:45 am)
Breakfast (Monday, October 6 \| 8 am)
Lunch (Monday, October 6 \| 12:30 pm)
20th Anniversary Celebration Dinner (Monday, October 6 \| 5:30 pm)
Yoga (Tuesday, October 7 \| 6:45 am)
Breakfast (Tuesday, October 7 \| 8 am)
Lunch (Tuesday, October 7 \| 12:30 pm)

2025 Annual Meeting Registration

Registration Type