moving with intention

ottawa, canada | mar 30, 2019

Welcome! We are so excited that you will be moving with us in our one-day workshop, March 30th at the National Arts Centre. Please note that the completion of this registration form and the receipt of your payment is required to guarantee your spot.

 If you have any questions, do not hesitate to send us an email at info@advivum.ca

Please complete the form below

Name *
Name
Mailing Address
Mailing Address
EMERGENCY CONTACT
Phone
Phone
Is there anything we should be aware of that may be useful in case of emergency? (Prescriptions, known medical conditions, other emergency related information)
PAYMENT
Method of Payment *
Please select one
LUNCH
Our Lunch will be provided by the Bowl! This tasty dish will keep us energized for the afternoon. Lunch includes a yummy protein-rich Bowl, a desert and a drink. Please bring power snacks and a waterbottle to keep yourself comfortable and energized throughout the day. http://thebowlottawa.ca/
Please select one
Please note that lunch is included in the cost
Base for your Bowl - Please select one
Vegan Option
Modify the bowl by omitting one or more options
Cancellation policy *
We are delighted to reserve this limited space for you. Because of the nature of this workshop, we are unable to provide a refund for cancellation. If you are unable to attend we encourage you to send someone in your place
Liability Waiver and Acknowledgment of Risk *
I agree and understand that in participating in this coaching/movement workshop, I voluntarily agree to assume all risks and responsibility for any such injury or accident, which might occur during any the workshop. I also exempt, release, and indemnify Advivum Inc., Luv2Groove and The Bowl, its owners, volunteers, and assistants from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death, which may arise out of or in connection with participation in any workshops or seminars conducted by Advivum Inc. and Luv2Groove.
Release of Photographs and Videos *
I grant permission to Advivum Inc. to use photographs and videos for publicity and media purposes only.