Registration Form :

Name: Occupation: Designation: Organisation: Address: Postal code and town:

About The Instructor

Shyamala Strack is a licensed Occupational Therapist, a certified Cranio Sacral Therapy (CST) instructor and certified advanced practitioner, diplomate (advanced) level. She has specialty certification in the administration and interpretation of the Sensory Integration and Praxis Tests by Sensory Integration International. Shyamala is a visiting therapist at the Upledger Institute's Intensive Programs in Florida and its Dolphin Assisted Therapy programs in Freeport, Bahamas. She specializes in helping people reconnect with their own true essence. Cranio Sacral Therapy is her life's passion. She loves teaching the work as much as doing the therapy. Shyamala truly loves bringing what she knows to those that she serves. Professional Associations / Memberships International Association of Healthcare Practitioners; National Board for Certification in Occupational Therapy.

Telephone: Fax: E-Mail: Course attending CST-I CST-II

About Mangalore
Mangalore is the chief port city of the Indian state of Karnataka. It is located about 350 kilometres (220 mi) west of the state capital, Bangalore. Mangalore lies between the Arabian Sea and the Western Ghat mountain ranges, and is the administrative headquarters of the Dakshina Kannada (formerly South Canara) district in south western Karnataka.
Ensconced on the coast, this maritime city makes a pleasant and convenient stop between Goa and Kerala. With its narrow, winding streets fringed with coconut palms, quaint houses with terracotta-tiled roofs, beautiful beaches, temples and churches, and the aroma of spicy coconut curries, it has preserved its old-world charm. Mangalore was a major seaport and ship-building centre in Hyder Ali's time. Today it is a business and commercial centre and Karnataka's major port for the export of coffee, spices and cashew. The Someshwar Temple overlooking a rocky promontory, the ancient 10th century Mangala Devi Temple dedicated to the Goddess Mangala Devi, and the 11th century Kadri Manjunatha Temple with its exquisite bronze images of Lokeshwara co-exist with splendid churches and mosques. Among the more remarkable mosques are the Jumma Masjid in Bunder, built centuries ago by the Arabs, and the Idgah Mosque at Lighthouse Hill whose construction is attributed to Tipu Sultan at the end of the 18th century. The St. Aloysius College Chapel with its magnificent Biblical frescoes adorning the walls and ceilings is worth a peek. Equally impressive is the Shreemanthi Bai Memorial Government Museum with its wonderful collection of objets-de-art, archaeology, ethnology, porcelain, and wooden carvings. Nature enthusiasts will enjoy the Pilikula Nisagardhama, a sprawling 300-acre park, 12km from Mangalore, which has boating facilities, wildlife safari, mini aquariums and a science centre.

Special requirements (vegetarian etc.) Payment Agreement I agree to pay Kasturba Medical College (by 31st December 2012)

CERTIFICATION COURSE IN CRANIOSACRAL THERAPY

(BY THE UPLEDGER INSTITUTE, FLORIDA, U.S.A)

Signature:

Date:

* This price includes workshop fee, breakfast, lunch and workshop documents etc. Accommodation costs are not covered by this fee.
Please E-MAIL this form to

E-MAIL: zulfeequer@rediffmail.com

*DD payable at Mangalore in favour of KMC - CST - MU - UI - 2013

Instructor: Shyamala Strack

OTR/L, CST-D (Qualified Bachelor of Science in OT from Boston University; Certified CS I and CS II instructor for Upledger Institute; Certified advanced practitioner Upledger Institute) Satellite co-ordinator
Dr. Amitesh Narayan Professor & Head Department of Physiotherapy Kasturba Medical College, Mangalore Ph No.: +91 9448039380 E-mail : amitesh_mpth@yahoo.com

Where to stay
Pilikula Nisargadhama Resort
Near Science Center, Pilikula Nisargadhama, Moodushedde, Vamanjoor Post, Mangalore 575028, Tel: 09449597878 Email: info@junglelodges.con Web: www.junglelodges.com Tariff: Rs.2000 to Rs.2500

The Gateway Hotel (Taj Group)

Old Port Road, Opp. DC Office, Bunder, Mangalore 575 001, Tel: 0824-666 0420 Email: gateway.mangalore@tajhotels.com Web: www.tajhotels.com Tariff: Rs.4000 to Rs.9000

Deepa Comforts Hotel

MG Road, Mangalore 575 003 Tel: 0824-249 7101 Email: deepacomforts@gmail.com Web: www.hoteldeepacomforts.com Tariff: Rs.3675 to Rs.6750

Hotel Poonja International

KS Rao Road, Hampankatta, Mangalore, Dakshina Kannada 575 001 Tel: 0824-244 0171, Fax: 0824-244 1081 Email: info@hotelpoonjainternational.com Web: www.hotelpoonjainternational.com Tariff: Rs.936 to Rs.4240

Course coordinators
Mr. Shyam Krishnan Assistant professor Department of Physiotherapy Kasturba Medical College Mangalore-575004 Ph No: +91 9880072564 E-mail : shyamsgiga@gmail.com Mr. Zulfeequer C P Assistant Professor Department of Physiotherapy Kasturba Medical College Mangalore-575004 Ph No: +91 9739576211 E-mail :zulfeequer@rediffmail.com

Moti Mahal
Falnir Road, Mangalore, Dakshina Kannada 575 001, Tel: 0824-244 1411, 09448 454411, Fax: 0824-244 1011 Email: sales@motimahal.co.in Web: www.motimahalmangalore.com Tariff: Rs.950 to Rs.3000

Hotel Abhiman Residency

Near Bunts Hostel Circle, Kadri Road, Mangalore 575 003, Tel: 0824-244 6304-09 Email: abhimangroup@asia.com Web: www.abhimanresidency.com Tariff: Rs.936 to Rs.2970

Nalapad Residency
Hill Road, Near Kasthurba Medical College, Mangalore, Tel: 0824-242 4757 Email: nalapadresidencymgl@nalapad.com Web: www.nalapad.com Tariff: Rs.926 to Rs.2875

Hotel Srinivas
GHS Road, Mangalore 575 001 Tel: 0824-244 0061, Fax: 0824-242 3302 Email: raghmegh@rediffmail.com Web: www.srinivashotel.com Tariff: Rs.500 to Rs.2100

Hotel Pentagon
Kankanady, Mahaveer Circle, Pumpwell, Mangalore, Dakshina Kannada 575 002 Tel: 08242-249 203 Tariff: Rs.676 to Rs.1960

Kumar's International Hotel

Near Colaco Hospital, Bendoor Main Road, Mangalore 575 002, Tel: 0824-222 5871 Email: hotelkumarintl@gmail.com Tariff: Rs.718 to Rs.1890

Ms. Akshatha Nayak Assistant Professor Department of Physiotherapy Kasturba Medical College Mangalore-575004 Ph No: +91 9986054034 E-mail : akshat_nd@yahoo.co.in

4-13 February 2013 Kasturba Medical College,

(Constituent of Manipal University, India)

Mangalore

About Upledger institute international:

Upledger Institute International (UI) is a healthcare resource center recognized worldwide for its comprehensive education programs, advanced treatment options and for its unique outreach initiatives and is recognized around the world as a leader in healthcare education. This Institute was found in the year 1985 after decades of Research and in the same year Upledger Clinic was established. Over 100,000 therapists have benefited from the training they've achieved through The Upledger Institute. And with new programs and new opportunities to come, tens of thousands of new therapists and millions of more patients will benefit as well. Dr. Upledger founded Upledger Institute International to teach people worldwide about the value of this effective approach. Today, the Institute is one of the most respected training venues in the world, with more than 90,000 alumni. Dr. Upledger also founded the Upledger Clinic the same year to provide treatment to individuals suffering from pain and dysfunction, and to continue his groundbreaking research in a clinical setting.

Craniosacral therapy I: (Shop.barralInstitute.com/workshops/craniosacraltherapy-1-CS1/CS1-02-04-07-13 MANG)

Date : 4 - 7 February 2013 (Total Seats 24) Pre-requisite: Professional healthcare practitioner, student in healthcare
program or graduate of awaiting licensure/accreditation Few systems have as much impact on the human body as the craniosacral system. It protects and nourishes the brain and spinal cord - and affects nearly every aspect of central nervous system performance. That's why CST is so critical to your healthcare practice. Developed after years of university research and testing, it allows you to release fascial restrictions anywhere on the body that may be impinging the craniosacral system and every other system it interacts with. In this workshop you'll learn gentle techniques to normalize the craniosacral system and allow the body to self-correct. By unraveling pain and dysfunction at the source, you'll naturally help eliminate stress, strengthen resistance to disease, and enhance health in every dimension. Course Highlights: By the end of this 4-day workshop the learner will be able to: D the scientific foundation and principles of CranioSacral Describe Therapy - and why it's the key to relieving pain and dysfunction at their source D Demonstrate finely tuned palpation skills you can rely on as highly sensitive and intuitive healthcare tools D subtle craniosacral rhythm and interpret its patterns to Identify the accurately evaluate dysfunction and improvements D source of physical problems by traveling through the Locate the fascial system, that complex web of tissue that impacts all body structures and systems D dural tube restrictions to enhance interactions between Release the central nervous system and the rest of the body D Use techniques that produce dramatic health and relaxation effects, including Direction of Energy and Still-Point Induction D approaches to a number of common ailments such as Work with TMJ dysfunction, head and neck pain, central nervous system disorders and many more D Put a simple, effective 10-Step Protocol into practice right away

Cranio-sacral therapy II: (Shop.barralInstitute.com/workshops/craniosacraltherapy-1-CS2/CS2-02-04-07-13 MANG)

Date: 10 - 13 February 2013 (Total Seats 24) Pre-requisite: CranioSacral Therapy 1 (Cs1)
CranioSacral Therapy 2 greatly expands the work learned in CS1 and completes the biomechanical CranioSacral training. Course Highlights:
F Cranial-base dysfunctions as assessed and treated by Dr. William

Sutherland, the originator of Cranial Osteopathy. These strain patterns can produce profound full-body effects.
F of the 10-Step Protocol. Review F strain patterns of the face, to include: nasal bones, Adverse

zygomatic bones, maxillae, vomer, and palatines. Stressful patterns of the bony face can cause a myriad of issues related to the face, throat, intracranial membrane system, the entire body and physiological systems.
Fis an assessment technique used to locate primary strain Arcing

About Craniosacral Therapy:

CST was pioneered and developed by osteopathic physician John E. Upledger following extensive scientific studies from 1975 to 1983 at Michigan State University, where he served as a clinical researcher and Professor of Biomechanics. CST is a gentle, hands-on method of evaluating and enhancing the functioning of a physiological body system called the craniosacral system comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord. Using a soft touch generally no greater than 5 grams, or about the weight of a nickel, practitioners release restrictions in the craniosacral system to improve the functioning of the central nervous system. By complementing the body's natural healing processes, CST is increasingly used as a preventive health measure for its ability to bolster resistance to disease, and is effective for a wide range of medical problems associated with pain and dysfunction

(lesion) patterns. Advanced CS practitioners use this assessment technique most often for its accuracy and speed.
F Regional Positional Tissue Release is used to locate body

positions that are most helpful in releasing lesion patterns. It is an elegant and efficient treatment process.
F Facilitated Segments are spinal cord areas that can cause

debilitating issues. Using a process to locate these segments and then treat them is essential to a CS protocol, especially when working with clients experiencing chronic issues.
F Glide is an assessment technique used to precisely locate Fascial

fascial lesions. If more than one lesion is found then a process of determining the primary lesion will be used.
F Discussion of adaptation of CS technique for children, infants and

newborns.
F effectively integrate techniques from CSI and CSII into How to

treatment sessions of any length, or in combination with other modalities.

F Discussion of Somato-Emotional Release.

Registration fees: (Till 31st December 2012)

CS I Rs 25,000 CS II Rs 25,000 CS I+CS II Rs 50,000

* Late Resgistration Fee after 31st December 2012 - Rs. 5000 extra for each Course