Full Name of Registrant
Title of Registrant
Postal / ZIP Code
Your E-mail (required)
Business / Organization
Work / Careers / Field
Receipt Required for Personal / Business Purposes
Level of Certification Registering for: Note: Discounts only available to Intensive and Level III registrants
Level I (no lunch available) $75Level II $125Level I and II Intensive $175Level III $175Specialized Training Group Rate TBAStudent Discount $50 (ID Required)Other Discount Code
Lunch Order (for Intensive Registrants Only) Includes: Sandwich 6”, Water, Fruit, cookie/bars/chips $15
Vegan SandwichAssorted Meat with Veggie SandwichNo Lunch
Note: please feel welcome to bring your own lunch to accommodate your dietary health needs!
Cheque - to Courage for Freedom Certification (46703 Mapleton Line, RR7 Aylmer, ON N5H 2R6)Online direct (Canada Helps Page*)E-transfer (send to info (at) courageforfreedom.org using 'certification' as the password without quotes)
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A division of Farmtown Canada | Charitable ID 825534563 RR0001