STAGE READY SEMINAR REGISTRATION FORM

PAYING E-TRANSFER, PAYMENT IS DUE IMMEDIATELY FOLLOWING REGISTRATION. ALL UNPAID REGISTRATIONS WILL BE NULL AND VOID.

Last Name *

First Name *

Age *

Birthdate (Year) *

(Month) *

(Day) *

Street Address *

Address Line 2

City/Town *

Province *

Postal Code *

Phone Number (Area Code + Number) *

Email Address *

Is this your first seminar? *

What type of show are you planning on competing in? *

I am a: *

Division of Interest (Choose 1 or 2 choices below)

What show are you planning on Competing in?

I am a: *

True Novice Competitor (never competed on stage before)

Amateur Competitor (competed in 1-2 shows)

Seasoned/Veteran Competitor (competed in more than 2 shows)

National Level Competitor (competed in a Pro-Qualifier or National Show)

Non-Competitor

REGISTRATION FEE (E-TRANSFER) can be made to figure@heatherleblanc.ca *

BEFORE FEB 5TH - E-TRANSFER - $40

AFTER FEB 5TH - E-TRANSFER - $50

2023 Atlantic Classic Championships (April 8)	2023 PEI CPA Open Championships (April 15)
2023 Toronto Pro-Qualifier (June 2023)	2023 NL & LAB CPA Open Championships (July 15)
2023 Vancouver Pro-Qualifier (July 2023)	2023 NB CPA Natural Championships (July 22)
2023 Toronto Natural Pro-Qualifier (Aug 2023)	2023 North American Championships (Aug 2023)
2023 Nova Scotia East Coast CPA Championships (Sept 30)	2023 Toronto Pro-Qualifier (Canada only) (Oct 2023)
2023 Flex Lewis Canadian Classic (Oct 14)	Other