Diamond Teachers Group Workshop Registration
Please answer all questions and then click
submit
. You will receive a Lesson Reminder email within 24hrs of completion of this form with the link to the Mindfulness Workshop. If you have any questions, please email
[email protected]
.
First Name
Last Name
Email
Mobile Phone
Can we text this number?
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Yes
No
Not applicable
Relationship to Student (mother, father, aunt, guardian, etc)
First language spoken at home
Second language spoken at home (if applicable)
How did you hear about us (social media, email newsletter, current client, other)?
If you were referred by someone, please put their name here:
Would you be interested in joining our email newsletter?
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Yes
No
Would you be interested in learning more about our other services?
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Yes
No
Student
First Name
Last Name
Which workshop(s) are you registering this student for?
Mindfulness (April)
Math Skills (May)
Test Prep (June)
Which grade level is the student currently in (ex: Grade 7)?
Please describe your child's personality (ex. creative, ambitious, anxious) and some of your child's interests (ex. video games, movies, sports)
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