Wellness & Lifestyle Workshop Registration

To register for one of our workshops, please fill out the form below:

 
First Name * 
Last Name * 
Title   
Email Address * 
Telephone (format 999-999-9999) * 
Preferred Contact Method *      Email       Telephone
 
Street Address 
City 
Province 
Postal Code 
Country 
 
Select preferred Workshop Type: *      Full Day $100.00
    Half Day $65.00
    Lunch & Learn Session $25.00
 
  *   required fields
 
Questions/Comments