Register today for the Women's Hearts Transforming Event!

First Name:
Last Name:
Email Address:
Phone Number:
Address:
City:
Province:
Postal Code:
Which workshops are you registering for? (please pick your top 3 choices - label your choices 1 thru 3)

Expressing your Goddess Self Through Art
Re-Invent Your Life, Discover Your Purpose
Take An Inner-Vacation
The HeART of Intention
Spiritual Alchemy: Creating Your Reality
Opening to Love - exploring the transformative power of dance
The Breathing Drum
Exploring Self Image Through Art
Dances with Words
The Art of Authentic Sound and Spoiken Word

How would you like to pay?

credit card money order
paypal


Registration Fees

Full Day: $60

Partial proceeds from this event will go to help 10 low income mothers to attend. We would love to see as many low income women recieve this day of nuturing and creativity. If you would like to help another woman attend the event who may be finacially challenged, please donate to the subsidy fund.

Donation to subsidy fund:

If you require assistance attending the event financially please let us know how much of a subsidy you require. (Subsidies will be offered on a first come, first served basis depending on how much is donated to the subsidy fund)

Subsidy requested:

Fee Total:


Do you have any health concerns (ie. epilepsy, mental illnes, heart conditions)??
How did you find out about this event??
(If it was through a friend please include their name if possible)


Comments

Please submit this registration form, and you will go to a page with more information about payment options to complete your registration.