Agreement to Proceed v.9

Seminar 2027 Art of the Needle Registration

PLEASE NOTE: Seminar 2027 will use email exclusively for all communications to registrants. It is essential that you include an email address that is checked regularly. If you have any questions, please contact 2027Registration@eac-acb.ca

Registration is restricted to EAC/ACB members in good standing. You will need you Membership number and expiry date to complete the registration process.
The pre-registration fee of $100 is a non-refundable deposit and must be remitted to confirm the registration.
All registrations received by November 1, 2026, will be treated equally for the preference of classes.
Classes that do not meet registration minimums as of January 15, 2027, will be cancelled.
Class assignments will be sent electronically by March 1, 2027. Every effort will be made to place you in the class(es) of your choice.
The class assignment email will include an invoice showing the balance owing, including kit fees, must be received by April 15, 20237, to guarantee your registration .

I have read, understood and accept the conditions *

Registrant Details

Membership Number

Membership Expiry Date

Chapter Name

First Name

Preferred Name

Last Name

Email

Phone Number

Cell Number

Complete Mail Address

Emergency Contact Name

Emergency Contact Relation

Emergency Contact Phone

Emergency Contact With You

Your First Seminar

Could you be a Class Angel

Pay by Install Payments

Significant Medical Accommodations

Misc Notes

Session A Classes

Maximum of 3 choices. If you select 1 class, you MUST select a 2nd choice.

Session B Classes

Maximum of 3 choices. If you select 1 class, you MUST select a 2nd choice.

Options Day & Tours

Maximum of 3 choices.

Options Day Activities

Maximum of 3 choices.

Extra Tickets

Estimated Invoice

Note: Only the 1st choice from each section is calculated in the estimated invoice.

Seminar 2026 Registration Invoice

Member #:

Name:

Section	Selected Item	Qty	Base Cost	Kit Cost	Total
Grand Total:					$0.00

Submit Data Payload

Below is the structured JSON representation of the registration, including registrant details and all choices.