Workshop Registration Form

Name

First NameLast Name
Training Registration

Complete the form below to signup for a DiSC Management workshop.
E-mail
example@example.com
Company
Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
How many will attend?
prevnext( X )
Everything DiSC Management, June 19, 2025, Mahone Bay
$350.00 CAD Quantity

DiSC session AND additional 3 one-on-one coaching sessions
$750.00 CAD Quantity

Subtotal

$0.00 CAD

Tax

$0.00 CAD

Total

$0.00 CAD
Confirm which event are you interested in.
Please provide the names and emails of participants:
Same as above         Unsure of specific participants
Participants listed below

First Name   Last Name   Email
First Name   Last Name   Email
First Name   Last Name   Email
First Name   Last Name   Email
First Name   Last Name   Email
First Name   Last Name   Email
How did you hear about the workshop?
Any additional comments/requests:
Should be Empty:

Training Registration