Five Save Life Workshop Registration Form

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Missing or false information will cause declining the registration process.

The workshop name that you would like to register? *

First and Last Name *

Phone Number *

Email Address *

City you live in *

Canadian Status *

Are you a member of Five Save Life? "Non-Five Save Life members will pay the requested charge and will be E-transferred to: Funds@fivesavelife.org" *

Name in Facebook *

Mother Tongue *

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