World Physiotherapy Congress 2025 (JPTA members)

Personal details

Please write your answers in English

First name *

Last name *

Email *

Alternative email

JPTA membership number *

Phone *

Address line 1 *

Street address (e.g. 7-11-10)

Address line 2 *

City (e.g. Roppongi, Minatoku)

City *

State/Province (e.g. Tokyo)

Postal/zip code *

(e.g. 106-0032)

Country of residence *

Select from drop-down

Job title *

e.g. physical therapist, instructor, manager, director. If you are a student, enter 'student'

Accessibility requirements

e.g. wheelchair user, blind, nothing at al. If you have special accessibility requirements or require special accommodations for conference participation, please specify them here.

Emergency contact name *

Name of emergency contact (e.g., family, spouse, sibling, etc.) Please write in English.

Emergency contact phone number *

The phone number of the emergency contact (e.g., the phone number of a family member, spouse, sibling, etc.)

Demographic information

What was the main factor in your decision to register? *

How old are you? *

Gender *

How long since you qualified as a physiotherapist? *

What is your main physiotherapy role? *

Have you attended one of our congresses before? *

Attendance type

How many days would you like to attend? *

Company/institute name

This information will be displayed on payment documentation. If you are paying for yourself, enter your personal details.

Company/institute name *

e.g. hospital, university, care home. If you are a sole proprietor, please enter your name in English.

Address line 1 *

e.g. 7-11-10

Address line 2

City (e.g. Roppongi, Minatoku)

City

State/Province (e.g. Tokyo)

Postal/zip code

(e.g. 106-0032)

Country *

VAT number

(Corporate number in Japan). Please enter a valid company number and country code (e.g. JP123456789). Please check the website of the National Tax Agency. https://www.houjin-bangou.nta.go.jp/。This answer is not mandatory.

No VAT number

Invoice information

Your order reference or P.O

Terms and conditions

I confirm I have read and understood the World Physiotherapy Congress 2025 registration terms and conditions *

terms and conditions

Registration summary

Items

Prices

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