First Aid Foundations: infant & child focus workshop
REGISTRATION FORM | Group First Aid workshop
Saturday, June 18 | 11am-2pm
Island Chiropractic | 850 Grand Lake Road, Sydney
Adres e-mail *
Please list your full name and preferred pronouns. *
Will you be bringing another caregiver/family member with you (family discount applies)? If so, please provide their name and relation.
What is the best phone number to contact you? *
How would you like to communicate following this form? *
Where in the CBRM do you live?
How old is your child/children OR when is baby due? *
What topic(s) are you most interested in learning about? Select as many as you like.
Are there any special needs/accommodations (academic or other) we should know about prior to the workshop to better support you?
Lunch and refreshments will be provided. Do you have any dietary restriction or allergies we should know about?
Sometimes pictures are taken at workshops. Do we have your consent to take and possibly share these photos? *
How did you hear about this workshop? This helps us to understand how we're best reaching clients.
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How will you be paying for the workshop? The $50 fee (one person) or $80 fee (family of two) is required in full to confirm/hold your spot, unless otherwise requested. Please indicate if you require a payment plan or other arrangement. Thank you! *
THANK YOU! Do you have any questions you would like answered when we reach out to confirm your registration?
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