Name *

First Name

Last Name

I am coming! *

please select as many as you'd like

Thursday June 19 (7-8pm)

Tuesday July 15 (7-8pm)

Tuesday August 5 (7-8pm)

Help us cover costs *

I understand that by registering, I am agreeing to pay $22.60 ($20+hst) per night I join and that this is non-refundable

I will pay by e-transfer (payments@soundyouthcounselling.ca)

I would like to pay by credit card (please email me details)

I would like some financial support to attend