CDA + PILSC Loss Training Sign Up Form
Pregnancy and Infant Loss Support Centre and CDA loss training.

Your reservation in the training will not be complete until you send in the $20 donation.

An email will be sent to you from  shooton@pilsc.org once we have your confirmed donation and registration details. Thanks!
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name
Company Name
Street Address
City
Province
Postal Code
Phone Number
Privacy Policy
Pregnancy & Infant Loss Support Centre respects your privacy and is committed to protecting your personal information. This privacy policy will inform you as to how we look after your personal information when you visit our website at pilsc.org (the “Website”), regardless of where you visit it from and tell you about your privacy rights and how the law protects you.

By submitting personal information to Pregnancy & Infant Loss Support Centre or its service providers and agents (collectively referred to as PILSC, “we”, “us” or “our” in this Privacy Policy), you agree that we may collect, use and disclose such personal information in accordance with this Privacy Policy and as permitted or required by law. Subject to legal and contractual requirements, you may refuse or withdraw your consent to certain of the identified purposes at any time by contacting info@pilsc.org. If you refuse or withdraw your consent, we may not be able to provide you or continue to provide you with certain services or information which may be of value to you.

  (Last updated: November 25, 2020)  
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of pilsc.org. Report Abuse