JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CARE Intensive Registration - Calgary AB Date: 27-29 May 2020
Location: Lymph Balance Centre
12100 Macleod Trail SE Suit 707,
Calgary, Alberta T2J 7G9.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name - (the name you list here will be on your certificate)
*
Your answer
Last Name (Surname) - (the name you list here will be on your certificate)
*
Your answer
Middle Name or other name (if applicable) - (the name you list here will be on your certificate)
Your answer
Email Address:
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Province / States
*
Your answer
Postal Code / Zip
*
Your answer
Country
*
Your answer
Day Time Telephone
*
Your answer
Evening Telephone
Your answer
Who referred you to this course?
Your answer
What courses are you attending?
Full Intensive (5 courses: Raindrop, Vitaflex, History, Chemistry & Emotional Release) CAD$ 940
Repeating all 5 courses CAD $ 470 (You must have previously attended the Full CARE Intensive)
Clear selection
Are you able to bring a massage table?
Yes
No
Maybe
Clear selection
I understand that I will have to pay a $300 CAD non-refundable guarantee my spot at registration. Full payment due by 26 Apr 2020.
*
Yes
Other:
Required
I will send payment via EMT to
jasmine@therapeuo.me
at time of registration to confirm my spot.
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms