Toronto LSR-CP registration form August 2020 workshop

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LIFE STRESS REDUCTION AND CASE PLANNING WORKSHOP (LSR-CP) WORKSHOP
DOWNTOWN TORONTO, 21 COLLEGE STREET, SUITE 610 (YONGE AND COLLEGE)
August 20-23, 2020, from 8:30 am to 4 pm

Trainer: Daniel Ferguson, M.Div; B.Ed., B.A. Certified TIR and LSR Trainer and Facilitator
FEE: $950 plus HST = $1,073.50
EARLY BIRD : $850 plus HST = $960.50 if registered and full payment received no later than July 20, 2020
HST number: 78583 5935 RT0001

Please note that there is a limited number of participants for this workshop. In order to have your spot confirmed for the LSR & CP workshop, we must receive your full payment. If you are taking advantage of the early bird special, the full payment must be received at the latest on the day of the deadline for the early bird (July 20, 2020).

For any questions regarding the workshop or registration please call or email Daniel Ferguson at 416-209-1264, danielfergusontir@gmail.com.

METHODS OF PAYMENT:

CHEQUE Please send payments to: Daniel Ferguson,
3-390 Wellesley Street East, Toronto ON M4X 1H6

E-TRANSFER Email: danielfergusontir@gmail.com
Text: 416-209-1264

Email *

FIRST NAME *

LAST NAME *

ADDRESS *

CITY *

PROVINCE *

POSTAL CODE *

PHONE NUMBER *

Please specify the dates on which you attended a Traumatic Incident Reduction Workshop (i.e., From dd/mm/yy-to-dd/mm/yy). And, also specify the city or town in which the workshop was delivered.

Please provide the name of the AMI Traumatic Incident Reduction Trainer who delivered the workshop.

If you have any special needs, please help us serve you better by listing them here (i.e., wheelchair accessibility, etc.)

Please list any dietary allergies, intolerance (i.e., lactose intolerant, etc.), or any preferences you have regarding food or beverages.

DATE *

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