Well Adjusted Seminar Information Reservation Form Please Complete Your Registration Details Below: Your name Your email Which Seminars Will You Be Attending? Friday 30th - Saturday 31st January 2026 Modules 1 & 2 : Cranial and Cervical : Colarado, USAFriday 6th - Saturday 7th March 2026 Modules 3 & 4: Thoracic and Lumbar : Colarado, USAFriday 17th - Saturday 18th April 2026 Modules 5 & 6: Pelvic and Lovett Relationships : Colarado, USA Number of Seminar Participants Names of Seminar Participants (Please include e-mail address in parenthesis if available) Attending Online Or Will Your Party Be Attending In-person? In-Person AttendanceOnline Attendance Address City State Postal Code Country Phone File Attachment: Please attach your proof of payment via Bank Transfer/Online Payment Date Reservation is Submitted Δ Bank Account Details: Wilem Joseph Floreani IBAN: ES0800810025290003871990 *Please make sure to include in the proof of payment your name and the date the payment was made if you have manually paid via bank transfer or paid via our online shop payments page For More Information: If you require any further information, please email team@welladjusted.co . Click Here to Pay for Seminar Reservations View Bank Details for Bank Transfer