Workshop Registration

Please complete the required information before submitting the registration form. You will then be taken to a secure transaction page after submitting the form to complete the transaction.

Workshop Online Registration Form

Workshop Registration Form:

Workshop:

Workshop: *

Workshop Date(s): *

Workshop Time(s): *

Workshop Location: *

Personal:

First Name: *

Last Name: *

Address Line 1: *

e.g. 123 ABC Street

Address Line 2:

e.g. Apt. 123, Unit. 123, Suite. 123

City: *

Province/State: *

Country: *

Postal Code/Zip: *

e.g. A1A 2B2 (Canada), 12345 (U.S.)

Contact:

Phone Number: *

e.g. 123-456-7890, 123-456-7890 x123

Fax Number:

E-mail Address: *

e.g. example@example.com

Members:

I am a current CPTN Member

Non-Member Price: *

Member Price: *

Membership ID:

Please enter Membership ID for confirmation.

Total:

Total (CAD):

GST is included in the Workshop fee.

Agreement:

WAIVER OF LIABILITY

I AGREE TO FOREVER RELEASE, DISCHARGE, FULLY INDEMNIFY CPTN, THE FACILITIES, AND ALL PROMOTERS, SPONSORS AND THEIR RESPECTIVE REPRESENTATIVES AND SUCCESSORS AND ASSIGNS FROM ANY AND ALL CLAIMS, DEMANDS, AND EXPENSES WHATSOEVER ON ACCOUNT OF DAMAGE TO OR LOSS OF PROPERTY, PHYSICAL OR MENTAL INJURY, OR DEATH. I VERIFY THAT I HAVE BEEN INVOLVED IN A PHYSICAL TRAINING PROGRAM; THAT I AM PHYSICALLY FIT AND DO NOT SUFFER FROM ANY DISABILITY, PHYSICAL AILMENT; NOR AM I TAKING ANY MEDICATION THAT WOULD CAUSE ME HARM OR LIMIT MY PARTICIPATION.

I agree to the terms and conditions as indicated. *

Verification:

What is the most important nutrient? *

Hint: The answer is water.

The * indicates that the field is required.

Site Navigation

Access Menu

Quick Menu

Main Menu

Newsletter Subscriber Form

Join our Mailing List

Workshop Registration

Workshop Online Registration Form

Footer Navigation

Validation Links