To register for the Edenvale Retreat click here to download the form.

 

 REGISTRATION FORM

October 7 – October 9, 2016

17th ANNUAL SELF ADVOCATE LEADERSHIP INSTITUTE

                                   

                          

Name: _____________________________________________________________

 

Address: ______________________________________________________________________

 

Phone: ____________   Fax: _____________  E-mail: ________________

 

Emergency Contact Name & Number: ____________________________

 

Food Allergies/Intolerances:  ____________________________________

(PLEASE LET US KNOW IF YOU NEED SUPPORT IN TAKING MEDICATIONS AND IT WILL BE PROVIDED) ______________________________________

 

Which days will you be attending the workshops?

 

Friday, October 7/16              ____________

Saturday, October 8/16          ____________

 

Sunday, October 9/16             ____________

 

Will you be staying overnight on:

 

Friday, October 7/16              _____________

 

Saturday, October 8/16          _____________

 

Because of the high number of people attending, we can only put up 45 people in total at the Edenvale Retreat Centre.  We will not have anyone staying at the Hotels. 

 

The cost is now $250 (price includes HST) for the full overnight package including: 2 nights of accommodations, food for 3 days, workshops, recreation, etc. 

The cost is only $125 (price includes HST) to participate for the entire weekend including all meals ONLY if you are NOT staying overnight at the Retreat Centre. 

 

NO REFUNDS FOR BOOKINGS THAT ARE CANCELLED LESS THAN A WEEK BEFORE THE EVENT.

 

For more information or to send cheques and registration forms to reserve a spot at this Retreat.

Please contact: Gregg Schiller by phone at: 604-688-7001 or by e-mail at:  GreggSchiller@shaw.ca

Mailing address is: #505 – 1380 Jervis Street, Vancouver, BC, V6E 2E5. 

Please make cheques payable to: Gregg Schiller