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Workshop Registration

 

Yes, I want to register my interest in a workshop...

The purpose of this form is to reserve a place for you in one or more workshops.

Please provide the following workshop registration information:
Workshop Name

Please select the level of workshop that you wish to register for:

(Please note that each level is a prerequisite for the following level)

Level 1  Level 2  Level 3  Level 4

 

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

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Copyright © 1999 Kinesiology Health Clinic
Last modified: July 29, 2000