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Registration Form



To register in advance for a class, complete this form and either:


  • e-mail this information in advance (to put your name on the class list, and submit payment later at the first session) to :

                                            Kathy at  




  • mail this information, with a cheque payment, to :

                                             The Stress Management Clinic, Box 7323 U.C., University of Guelph, Guelph ON N1G 2W1.



NAME ____________________________________________________________________________________________________


ADDRESS & Postal Code _____________________________________________________________________________________


Home PHONE ______________________________________________________________________________________________


Work PHONE ______________________________________________________________________________________________


E-mail address ____________________________________________________________________________________________


PROGRAM that I am registering for ___________________________________________________________________________


PROGRAM start date / time _________________________________________________________________________________


FEE enclosed _____________________________     (Please make cheques payable to the Stress Management Clinic.)