Resiliency Institute: Express Registration

Express Registration
Use our express form to register for workshops, seminars and trainings.

Registration Information

Please fill out the registration form below and click the ”Register” button to complete your registration. A first confirmation of receipt will be sent to you shortly via e-mail. A written confirmation will be sent by mail or fax in the next 72 hours along with either an invoice or a receipt (if payment is made by credit card) for the seminar fee. You will also receive information regarding the name and address of the seminar venue and other important information. Should you have any questions regarding your registration, you are welcome to telephone our office toll free 1-800-327-1090. Our office hours are 9:00 a.m. to 5:00 p.m. PST.

If you prefer credit card payment, please print out this registration form and fill in the credit card information (card no., expiry date, name of card holder) on the print out. Sign (signature of card holder) and fax the registration form to the Resiliency Institute Corporation (Facsimile 250.545.1270). We accept VISA, MasterCard and American Express credit cards. Do not send credit card information via e-mail as we presently do not have a secured connection.

First Name

Last Name

Organization

Address 1

Address 2

City/Town

Province/State

Country

Postal Code/Zip

Email Address

Phone Number

( ) - Ext.

Fax Number

( ) -

I would like to register for the following courses

Personal Development

The Science of Prosperity�

The Power of Resiliency�

Dynamics of Mind�

Creating Your Future�

Discovering the Genius Within�

Dark Clouds - Silver Linings�

Parent Education

Raising Resilient Kids�

The Secrets of School Success

Moral Intelligence

Creating Your Future (For Youth)�

Developing Capable People
Two Day - Leader's Training Program

School Workshops

Resilient Schools�

The Empowered Educator �

Multiple Intelligences (M.I.)

Emotional Intelligence (E.Q.)

Moral Intelligence

Positive Discipline in the Classroom

Safe and Caring Schools

Workplace Seminars

Dynamic Leadership for the 21st Century

Building Resilience in the Workplace

Credit Card information

If you are paying with a credit card, please print out this form, fill in the info below, and fax it to our office (Facsimile 250.545.1270).

Credit card type: [ ] Visa [ ] MasterCard [ ] American Express

Card no: _________________________________________ Expiry Date: ________________

Card holders name: __________________________________________________________

Signature: __________________________________________________________________

Please enter any additional comments

Group Discount:
When 3 people are registered together for the same course and charged on the same invoice, the fourth person may attend free of charge. This discount cannot be combined with other special offers or discounts.

Cancellation Policy:
If for any reason a registered participant is unable to attend, substitution is always possible and preferred. All cancellations must be in writing (letter, fax or e-mail). Cancellations received less than 7 calendar days before course start are subject $50.00 service charge. No refunds or credits are issued for cancellations received less than 72 hours before course start, for failure to cancel or for ”no show”. Courses may be cancelled if bookings fail to reach minimum numbers. In such circumstances all fees will be refunded.

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