Name (required)

Phone (required)

Email (required)

Address (required)

Emergency Contact Name and Phone No

Any dietary Issues? If so, please list

Any accessibility, hearing, eyesight issues? If so, please list

Space is limited

The payment options

Payment of $399.00 plus HSTDeposit of $200 plus HST and balance of 249.00 plus HST to be paid on or before December 20/2019

A confirmation email will be sent to you upon completion of registration.

- By registering for this event you are accepting the stated cancellation policy

Would you like to be added you our SpringFling Elora Facebook Group?