WELLNESS & CREATIVITY CIRCLE- Sisters & Senior Mothers
Inviting women 16+ and their mothers/grandmothers to a FUN afternoon with Sr. Fatima Qureshi discussion, hands on activity, socialization and food...
Event Registration Form
June 14th, 2026 at 2:00- 4:00 PM (Hall 3) at 1330 Castlemore Avenue
Registration for:
*
I am a Senior, registering myself
I am registering myself and my mother
Attendee's name (1)
*
Full Name (First and Last Name)
Age
Attendee's name (2)
Full Name (First and Last Name)
Age
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dietary Restrictions
*
Which Registration best describes you?
*
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Senior Mother/Daughter Duo
$15.00 CAD
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15.00
CAD
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Senior Only (age >50yrs)
$5.00 CAD
$
5.00
CAD
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Which topics would you like to see in future focused sessions?
*
Mindfulness and Brain Health
Fall Prevention
Nutrition and Bone Health
Senior's circles
Morning walks/Breakfast
Which other topic (not listed above) would you like to attend?
Would you like to be updated about the upcoming events?
*
Yes
No
Submit
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