REGISTRATION FORM
Ottawa Keto Retreat: 21 September 2019

Registration Date: 24-Aug-2019
Attendee Name: *
Name on Name Tag: (if different from Attendee Name)
Address: *
City: *
Province/State: *
Postal/Zip Code: *
Telephone Number: *
E-Mail Address: *
Registration Type:

NOTE: We are unable to offer refunds for paid registrations. If you are unable to attend this retreat for which you have paid, you may transfer the registration to an aquaintance or ask us to offer attendance to someone who is unable to afford the cost.


Please let us know a bit about you!
Check all boxes that apply:
           I'm interested and it's new to me
           I have some experience
           I have experience but want to learn more
           It sounds fun and there are great speakers
           I attended another Keto-retreat.ca programme: (select all that apply)
                      Perth - September 2018
                      Kingston - December 2018
                      Ottawa - June 2019
           I am willing to volunteer for a short time.

Let us know how you heard about this retreat and any other comments you have:

IMPORTANT: Upon submitting this registration form you will receive an email confirmation and details on how to make payment via Interac E-Tranfer or PayPal. Your space will not be reserved/confirmed until we receive payment in full.