Waiting List Registration - North West Self-Management Program

Register for Our Waiting List

Virtual or in-person workshops will be returning in 2024. We invite you to register for our waiting list and you will be notified when a workshop becomes available.

Registration Details

First Name *

Last Name *

Address *

City *

Postal Code *

Email *

Phone *

Family Health Team or Affiliated Health Care Organization

Participant Comments

Waiting List Information

Workshop Types *

Select workshop types that you are interested in

Communities *

Select all communities that apply

If you are unable to attend a workshop in one of the communities listed above, please enter your community.

Available to Attend via Webinar

YesNo

Guidelines for Participation

During this workshop, you are responsible for taking care of your own needs. You may leave the room at any time, stand up, stretch, or tend to your needs.

In order to benefit from this workshop, we ask you to:

Come to every session
Be respectful of others and their ideas
Maintain confidentiality
For the comfort of everyone, our workshops are scent free. Please refrain from wearing scented products.
Give any new activities at least a two-week trial
Make and complete a weekly action plan
Call your buddy weekly
Turn off your cell phones/pagers
Participate in group discussion
Not give direct health care advice to other participants, as each individual has customized health care plans designed around their individual health needs and personal situation from their health care providers. Direct Health care should only be taken from a licensed health care provider.

I have read and agree to the Guidelines for Participation. *

YesNo