Registration Form – Sat. Nov. 19 and Sat. Nov. 26, 2016

To register, please complete the information below and return this form along with course payment to Everyone Matters via email pat@everyonematters.ca

Course Date and Location: 2-day course
Saturday Nov. 19 and Saturday Nov. 26 2016 –  9:00 am to 4:30 pm. The Meeting Place, 2700 Bristol Circle, Oakville, ON L6H 6E1.  Volunteer Room
Fees: $175.00 plus HST, (includes participant manual and light refreshments. Lunch is not provided)Payment Must Accompany This Registration Form. Payment Options:

  1. e-transfer (please email answer to security question to pat@everyonematters.ca
  2. Cheque payable to Pat Thacker. Please mail cheque and registration form to Everyone Matters, 116 Mill Street South, Brampton ON L6Y 1T3
  3. PayPal – send email contact information to pat@everyonematters.ca to receive PayPal invoice. PayPal accepts VISA and MASTERCARD.

NOTE: Registration confirmation will be emailed to participants upon receipt of payment. Everyone Matters reserves the right to reschedule the training due to low enrolment or unforeseen circumstances. Cancellations from participants received less than one week prior to the course date will result in a $50 cancellation fee.

Your Name (required)

Your Email (required)

Course Date - Click in the field to reveal calendar (required)

Phone Number (required)

Address (required)

City (required)

Province (required)

Postal Code (required)

Organization Name (required)

Dietary Restrictions/Special Needs