Your Name: *


Professional Designation/Title: *


Your Email: *


Phone: *


Address Line One (Number and Street): *


Address Line Two (Apartment/Suite):


Adress Line Three (City/Province/State/Country): *


Address Line Four:(Postal/Zip) *


Confidentiality Agreement: I agree to keep confidential the personal identity information of case material shared in the workshop by trainers and participants. I agree not to record any part of this training in any format (audio, video or visual). Personal written notes of non-confidential material are permitted. Yes ? *

Enrollment in this training constitutes an agreement to hold harmless The Greater Toronto EFT Community, the organizers and trainers from any and all claims, actions, and judgements, including all costs of defense and attorney’s fees incurred in defending against the same. I have read and agree to follow the terms for participation. Yes? *

I understand that after 'Submiting' this registration form, I will need to mail a deposit cheque for $150 + HST or make a payment with paypal to hold my spot. Yes? *

I understanding that the remainder of the balance needs to be paid by July 1st ($330.25) in order to receive the early bird price discount. *

I understand the The Greater Toronto EFT Community has the right to cancel this event on July 1st based on attendance and I will receive a full refund. *

I understand if I need to withdraw from this training after August 15th that there is a non-refundable fee of $50. *