Name *

First Name

Last Name

Phone *

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Payment Confirmation *

PROMO: $69 + HST = $77.97 Email Money Transfer: gcjourneybegins@gmail.com ** Kindly include your name in the payment memo. Receipt will be provided once payment is received. **Please submit one form for every participant.

Email Money Transfer has been sent ($77.97)

Please acknowledge that I have a friendly Australian Shepherd that will welcome you upon your arrival. *

I acknowledge there is a friendly dog on the premises.

Please acknowledge that this session is for young adults (high school sr. OR university student) *

Yes I am a high school senior OR university student (16+)