REGISTRATION CONFIRMED UPON RECEIPT OF PAYMENT.

Registration Form

*Send information by email*

readinglearningclinicmanitoba@gmail.com

The course has a shortened lunch. Please bring own lunch and snacks.

COURSE NAME: (Date & Location)

Name:

Home Phone:

Position/Role:

School:

Division:

Grade:

Home Email: (needed to send receipt to confirm registration)

CANCELLATION

NO REFUNDS. If you want to transfer your ticket to another person, please contact us.

Payment:


Paid to the order of The Reading and Learning Clinic of Manitoba

The Reading and Learning Clinic of Manitoba

c/o P.O. Box 55070

710 St. Anne’s Road, Dakota Crossing

Winnipeg, MB R2N 0A8

NO REFUNDS.

If you want to transfer your ticket to another person, please contact us.