Registration for Awakening Instincts: A Weekend Summer Solstice 5Rhythms Workshop

Registration Form

Welcome! please complete form to register
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best e-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Emergency Contact : Please include full name & phone number
Emergency Contacts relationship to you :
Additional Comments: please share anything you’d like us to know about you , that may relate to your participation in this workshop .
My Products
prevnext( X )
Awakening Instinct | A 5Rhythms Summer Solstice Workshop with Sarah Blagg
Early Bird Price ( available until May 1st)

$260.00 CAD



Awakening Instinct | A 5Rhythms Summer Solstice Workshop With Sarah Blagg
Regular Price ( May 2nd onwards)

$290.00 CAD Quantity
Item subtotal:$0.00 CAD



Friday Night Only
Friday June, 20th 2025

$40.00 CAD Quantity
Item subtotal:$0.00 CAD



Total

$0.00 CAD
Should be Empty:

Registration Form