ICHT Registration February 2021 | Oxford Training and Certification

Name*
First Last
Phone*
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your current certification or profession (if applicable)?
Are you affiliated with any hyperbaric organizations? If yes, please list.
Do you plan to attend the course in person or virtually?*
- In Person
- Virtual
If attending virtually, do you have a computer with a camera for class participation and attendance monitoring?
- Yes
- No
Oxford Certification will reach out to you to collect the $800 course tuition fee. How do you prefer to be contacted for payment?*
- Phone (provided above)
- Email (provided above)
Comments or questions?