The Wandering Mind
DATE: Friday May 15th TIME: 1:00pm-2:00pm Virtual via Microsoft Teams
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you registering for yourself or someone else?
Myself
On behalf of someone else
If on behalf of someone else, please state their name:
What is your age range? (person attending the workshop)
16-18 (can attend with parental/guardian consent or accompanied by an adult)
19-25
26-49
50-100
Do you require any special accommodations?
Have you previously attended a Thrive workshop?
Yes
No
Would you like to receive email updates about our upcoming workshops and events?If you choose to receive updates you can opt out at any time by emailing me to let me know at vince.galea@cmhasos.ca and I'll remove you from the email list. Please note: All workshop participants will receive a post-workshop survey. From time to time, you may also be invited to participate in additional surveys (up to twice per year) to support evaluation, learning and program improvement. Your participation in all surveys is voluntary, and your responses will be completely anonymous.
Yes please add me to the email list
No thank you
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