Stress Management and High Performance Clinic

Registration Form

To register in advance for the class, complete this form and mail it with 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 _______________________________

CLASS start date / time ___________________________________________________

FEE enclosed _____________________________

Please make cheques payable to the Stress Management Clinic.

If you prefer to submit payment at the first class, e-mail this form in advance to put your name on the class list.

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