Legal last name of registrant Prior last name of registrant (if applicable) Legal first name of registrant Birth date of registrant Gender (required by provincial government) Male Female Street Address Apt/Unit Number City Province Postal code Telephone (primary) Email address Please note: The Breastfeeding Education Day fee is $99.75 (includes GST). By submitting this form you are requesting registration for Breastfeeding Education Day. Once we receive your registration form please allow up to 2 business days for a response. When you have been registered, you will receive an email with instructions on how to access the payment portal - payment must be made within 24 hours. Refund Policy: Full refunds will be issued if the College cancels a course. Refunds are available to persons who request a withdrawal or transfer more than three working days (72 hours) before the start of the course. A $15.00 processing fee will be charged for each course withdrawal. No refund will be issued if course fees or the refund amount is less than $15.00. There are no refund or transfers on home study courses. Refunds are issued in the form of a cheque and are payable to the individual who was registered in the course. In the event of a labour dispute, courses cancelled by the College will be refunded on a pro-rated basis depending on the number of classes scheduled before the labour dispute began. Collection Notice: Your personal information is collected by Douglas College under the authority of Section 27 (2) of the Freedom of Information and Protection of Privacy Act (FIPPA). The information will be used to process your Request for Exception form. Questions about the collection of this information may be directed to the Associate Registrar, Enrolment Services at 604 777 6093 or email Cereg@douglascollege.ca. Leave this field blank