Workshop Registration Form

To print this form from Windows 95 or 98,
right click and select Print or press [CTRL] P

For more information,
613-476-1116 (Picton),
email: cmcpicton@sympatico.ca
or visit: http://www.trimesters.on.ca

Mail completed form to: Trimesters Massage Therapy Education, 11 Downes Ave., Picton, Ontario K0K 2T0, Canada
Personal Information
Name RMT Registration Number/ Student's School Name

Mailing Address

City/Town

Province/State Postal/Zip Code
Home Telephone

Business Telephone E-mail Address
Workshop Selections
[] Massage Therapy for Pregnancy. Please select desired date and location. Fee: $540 (Student Fee: $390; ACTM Student Fee: $350).
[] July 7-8, 2010, New Brunswick [] October 29-31, 2010, London, Ontario
[] September 17-19, 2010, Toronto
[] The M.T. as Labour Support Provider/Doula. Please select desired date and location. Fee: $540 (Student Fee: $390; ACTM Student Fee: $350).
[] November 5-7, 2010, Toronto
[] The Massage Therapist Working with Infants & Children. Please select desired date and location. Fee: $540 (Student Fee: $390; ACTM Student Fee: $350).
[] July 9-11, 2010, New Brunswick [] Ocotber 15-17, 2010, Toronto
Method of Payment
All registration fees include HST and are in Canadian funds. A non-refundable registration fee of $250 is due 5 weeks prior to the start of any course with the remaining fee due on the first day of the workshop. Please make cheques or money orders payable to: to Trimesters Massage Therapy Education. ACTM alumni remain eligible for the ACTM Student Fee within one year of graduation.