CARE Intensive Registration - Mt. Elgin Ontario, Canada. 7-9 Oct 2020
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Email *
First Name (the name you list here will be on your certificate) *
Last Name (Surname) (the name you list here will be on your certificate) *
Middle Name or other name (if applicable) (the name you list here will be on your certificate)
Street Address *
City *
Province / States *
Postal Code / Zip *
Country *
Day Time Telephone *
Evening Telephone
Who referred you to this course?
What courses are you attending?
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Are you able to bring a massage table?
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I understand that I will have to pay a $300 CAD non-refundable guarantee my spot at registration. Full payment due by 30 Aug 2020. *
Required
I will send payment via EMT to jasmine@therapeuo.me at time of registration to confirm my spot. *
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