Education: Adult Workshops Registration Form

Registration - Adult Workshops

Registration is NOT complete until payment is received. Please call 204-927-6070 to submit payment with Visa or MasterCard by phone. Alternatively, please send a cheque addressed to 'Assiniboine Park Conservancy' to 55 Pavilion Crescent, Winnipeg, MB R3P 2N6.
* Required
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Assiniboine Park & Zoo Membership Number
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
I would like to register for the following workshop(s):
Program Name: *
Program Date(s): *
Program Time(s): *
Price + 5% GST *
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
Program Name:
Use if you are registering for two different workshops or want two tickets for one workshop.
Program Date(s):
Program Time(s):
Price + 5% GST
Assiniboine Park & Zoo Members receive a 10% discount on Workshop fees*
Fees
- Prices vary depending on the course - please see our website for details
- Please include 5% GST
- No refunds unless workshop is cancelled by Assinsiboine Park Conservancy
* Membership must be valid at the time of purchase. Membership discount does not apply to programs run by independent third parties. (ex. Fit 4 Two)
Amount Owing (including 5% GST) *
Payment *

Cheque (payable to Assiniboine Park Conservancy) I will call 204-927-6070 with Visa or Mastercard number
Questions or Comments
Would you like to receive e-mails from Assiniboine Park Conservancy including information about events, programming, and education offered at Assiniboine Park & Zoo?

Yes No
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Registration - Adult Workshops