The Art of Reflection Course Registration Form

Registration Form

The Art of Reflection - an online SEUS workshop
Participant Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Mobile Number
Other Phone Number
Registration Status*
Which tier would you like?

Audit only (no CE certificate)CE tier (5 CE hours with certificate)
Company or Practice Name
Additional Comments

Pay Now to Secure Your Spot

AUDIT TIER -The Art of Reflection

Recorded online course, audit only - no CE certificate

$25.00CAD

CE TIER - The Art of Reflection

Recorded online course with self-reflection requirement - 5 CE hours certificate

$125.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD