CARE Intensive Registration - Barrie ON                 Dates: Oct 21-23, 2021
56 Lion's Gate Blvd, Barrie ON L4M 7E4
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First Name *
Last Name (Surname) *
Middle Name or other name (if applicable)
Email Address: *
Street Address *
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Evening Telephone
Who referred you to this course?
I understand that I will have to pay a $300 CAD non-refundable guarantee my spot. Full payment due by 16 Oct 2021. *
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I will send payment via EMT to jasmine@therapeuo.me at time of registration to confirm my spot. *
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