Workshop Registration Form
Workshop Registration Form - Step #1
PRIMARY INFORMATION
Workshop Registration Form - Step #2
FRIEND / FAMILY- INFORMATION
Workshop Registration Form -
Step #4
SUMMERY
Workshop Registration Form - Step #3
METHOD OF PAYMENT
Name on Card
Card Number
Exp.
Type signature
here
I have read and understood all portions of the registration form and agree to the terms and
conditions regarding cancellation and transfers of programs and courses. Click here to read more
I understand that Power of Intention - Breakthrough Coaching Inc. Respects my privacy and
agrees not to sell or trade my information with third parties and that all information given is for
the soul purpose of processing my transaction.
WORKSHOP
NAME
 DATE
See Calender for
dates
CITY(s)
 PRIMARY
PRICE

Illusion of Fear
4Hrs.

See Event Calendar
Click Here
 -Grande Prairie
-Calgary
-Prince George
-$150.00 (In Town)
-$175.00 (out of Town)
F.I.R.E
Freedom In Releasing
Everything
See Event Calendar
Click Here
 -Grande Prairie
-Calgary
-Prince George
-$150.00 (In Town)
-$175..00(out of Town)

T.E.A.M.
Together Everyone
Attracts More!

See Event Calendar
Click Here
 -Grande Prairie
-Calgary
-Prince George
 Price based on length of
Event and Number of
Participants.

Walking Through the
Looking Glass

See Event Calendar
Click Here
 -Grande Prairie
-Calgary
-Prince George
-$99.00 (In Town)
-$110.00 (out of Town)
IN TOWN workshops are based out of the Grande Prairie Area - OUT OF TOWN workshops are workshops booked outside of the Grande Prairie
area and have a higher price to cover Traveling expenses for our team.
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Hello and Welcome To
www.Firewalks.ca
We Specialize in customizing your personal Fire walking  Experience!!
 
 
 
 
 
 
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