* Please submit one form per person attending the training with full payment.*  

Sibshops Training with Don Meyer:

DAY ONE
Friday, April 17, 2015
9:00 am to 3:30 pm
Classroom 5, Upper Level
Soloway Jewish Community Center
21 Nadolny Sachs Private, Ottawa, ON

DAY TWO
Sunday, April 19, 2015
9:00 am to 3:00 pm
Teen Lounge
Soloway Jewish Community Center
21 Nadolny Sachs Private, Ottawa, ON

Personal Information

First Name
 

 Last Name

Address 
 

City 

Province 
 Postal Code 
Home Phone
Cell Phone
Email Address

I am a:

 Sibshop of Ottawa Parent
 Service Provider - Ottawa
      Organization: 
 Service Provider - Other
      Location:  
      Organization:
 Other, please specify:


Training Information

Training: Day 1
Friday, April 17, 2015		 $50
Training: Days 1 & 2
Friday, April 17, 2015 & Sunday, April 19, 2015		 $100


Payment Information
Please Note: We are unable to accept Visa Debit Cards.

Total Payment:  
 Visa      MC     Amex  
Credit Card Number:  
Credit Card Expiry Date:  
Name on Credit Card:  


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