myoActivation Training Registration Form

Who should register?

Physicians & nurse practitioners who want to learn a rapid and effective treatment approach for common chronic pain presentations.  

Participants must be licensed to deliver injections and hold liability insurance covering their scope of practice.

Maximum Class Size    16

Instructor Learner Ratio 1:4

To register, please complete the form below.  Once you submit the form, we will contact you to complete registration.  Thanks! 

This registration is for *
(indicate which workshop you want to attend)
Name *
Mobile Phone *
Mobile Phone
Address *
Glove Size *
I'm okay with sharing my email address with other course participants *

Course Fee

Fee includes online content, the two day skills workshop with lunch included and follow-up support.

Physicians                $1,200

Residents                   $800

Nurse Practitioners    $600

Visa and Mastercard accepted.    Payment of $200 is due at the time of registration, with the remainder due by September 1, 2018.

Cancellation Policy

If you need to cancel, you must do so by email to up to 30 days before the start of the course. Your registration fee, less a $50 handling charge, will be refunded.

The course fee is non-refundable within 30 days of the course date.

We reserve the right to cancel a course up to 30 days prior to the course date.  A minimum of 8 registrants are needed for the course to run.  In the event that we cancel the course, each registrant will be notified and given a full refund of the course fees.  We are not responsible for any other of your costs, including, but not limited to airline or hotel penalties.

Proof of Medical Practice Liability Insurance

Upon registration, you will be asked to provide a copy of your medical practice liability insurance up to $3 million per occurrence, effective in Canada.


 If you might be pregnant, please call us to go over risks before confirming registration.