Registration

Please fill out the form below to register for one of our courses.

Participant Information

First Name (required)

Preferred First Name / Nickname (if different)

Last Name (required)

Email (required)

Additional Email to cc on Communications (if needed)

Preferred Phone Number (required)

Cell Phone Number (required)

 Same as preferred phone number.

Title / Job Function

Administrative Contact Name (if applicable)

Administrative Contact Email (if applicable)

Company Name (required)

Street Address

City

State

Zip Code


Billing Information

Invoice will be sent directly to participant unless otherwise noted below.

Billing Contact (if different from participant)

Billing Contact Email

 Billing address is same as participant.

Billing Street Address

Billing City

Billing State

Billing Zip Code


Course Information

Course Name / Date (select one)

Payment Preference (select one)


Dietary Restrictions/Allergies

As a part of the course we will be serving meals and snacks. Please let us know of any dietary restrictions or allergies and their severity.


Additional Information

I was referred to CFIL by:

I am working with:

I am working with:

Other Comments: