ADHD Workshop

Date: Thursday 28th of November 2024

Time: 12:00PM - 1:00PM

Location: Virtual - Teams link forwarded prior to session

Registration Form

"I understand and accept that by registering for this workshop or class that I am submitting my name, e-mail and the name of my doctor through this website. This information will be used for the sole purpose of tracking and administrating my registration in the class or workshop. I understand this information will be securely stored electronically for a period of 2 years with the Barrie Family Health Team. I understand that as a result of signing up through this service, I may receive e-mails containing registration information (such as date and name of class) and additional health resources in the future."

I understand, please continue with the registration.

First Name: (Required)

Last Name: (Required)

Date of Birth: MM-DD-YYYY

Phone: (Required)

Email Address: Add additional email address

Postal Code:

My Physician:

What is one thing you would like to achieve by attending this class? (optional)

How did you hear about this class:

Optional Notes:

Are you a human?