RSVP for TMJ Workshop

hosted by Mind Body Physiotherapy and Austin City Dental

Join Physical Therapist, Dr. Gonzales, and Dentist, Dr. Cook, for a FREE workshop on how to manage TMJ pain

When: 6:30pm on Tuesday, October 3rd

Where: 8200 N Mopac Expwy, Austin TX, 78759

First floor conference room

Full Name *

Phone *

Email *

Will you be attending in person or virtually? *

In person

Virtually

Mind Body Physiotherapy and Austin City Dental have my permission to use my photograph and/or video publicly to promote their businesses. I understand the images and/or video may be used in print publications, online publications, presentations, websites and social media. I also understand that no royalty fee or other compensation shall become payable to me by reason of such use. *

I have read and consent to the photo/video release policy

I do NOT want my photo or video to be used

I understand that this workshop is for educational purposes and not intended to treat or diagnose any musculoskeletal conditions. I desire to engage voluntarily in the workshop activities. By checking the box below I completely and unconditionally release all liability to Mind Body Physiotherapy and Austin City Dental. *

I understand that I am voluntarily consenting to participation in this workshop