Esteem Workshop Registration

 

I would like to sign up for:

  

The full 10-day Esteem Workshop
Monday August 7th- Wednesday16th, 2006

1 day Sexual Health and Safety Workshop
Sunday August 13, 2006

3-day Compass Outdoor Living Excursion
August 13-16, 2006
Participant Information
  
Last Name:
First Name
Middle Initial:
Date of Birth (m/d/y)
Home Phone:
Home Address:
City:
Province:
Postal Code:
E-mail:
Cell Phone:
Do you have any food allergies or dietary restrictions that we should be aware of:
If yes, please elaborate:

 

Emergency Contact Information

  
Last Name:
First Name:
Middle Initial
Phone Numbers:
  
Residential:
Work:
Cell:
Email:

 

Registration Fees

Scholarship Options
Partial and Full scholarships available to student in financial need. Please contact Jessica at 416 488 7520 or info@LivingEducation.ca for more details.

Sponsorship Options
In an effort to support equitable access to our programs, The Young Women’s Development Centre of Toronto welcomes financial contributions to our scholarship fund.
Would you like to Sponsor a Student?



If yes please designate an amount

$50