Carolyn Waddell, MDiv 
Registered Psychotherapist

Individual, Couple, Family Counselling

 

Registration for Event
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Please fill out the form below to register online for an event or workshop.
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*Name: 
*Email: 
*Address: 
Telephone: 
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*Event/Workshop Name: 
*Event/Workshop Date 
*Event/Workshop Time 
*Event/Workshop Location 
*Number of People Registering 
If more than one person, please list additional names here. 
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*Pre-Registration
 
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*Payment Method

 
Please check your event information for details on where to send your payment, and send your pre-registration as soon as possible. Thank you.
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*required field
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Please click submit to send this form. You will receive a response shortly. Thank you.
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