Participant Registration Form

Please book your seat for an upcoming course by completing this fillable form.

Email the form to am@capstonedt.ca

Participant Name:	Enter Your First Name	Enter Your Last Name
First	Last
Email:	Enter email Address Here	Phone:	Enter phone #
Company Name:	Enter Your Company or Agency Name Here
Company Address:	Address Line 1
Address Line 2
Enter City Here	Enter Province here	Enter Postal Code
City	Province	Postal Code
Course Details
Course Title:	Enter Name of Desired Course Here
Date Attending:	Enter Date of Desired Course
Office Use Only
Date Received
Payment Received

Payment:

Capstone Development & Training will contact you to confirm registration and set up payment.

Payment must be received prior to attendance to hold your seat.

Cancellation Policy:

A $35 administration fee is non-refundable. Cancellations must be made 7days in advance of the course date to receive a partial refund.

For Inquiries please contact:

Angela McKenna

Owner, Capstone Development & Training

(519)568-9966

am@capstonedt.ca