LOCATION:

NIAGARA-ON-THE-LAKE
KINGSTON

Name

Email

Phone (for Our Records only)

Address (for Our Records Only)

NIAGARA ON THE LAKE PEOPLE ONLY (LONGER ART FROM THE HEART SESSION):

PLEASE CHOOSE ONE:

ART FROM THE HEART SESSION ONLY $30
LAUGH YOURSELF HEALTHIER SESSION ONLY $10
BOTH SESSION $30

KINGSTON PEOPLE ONLY:

ART FROM THE HEART SESSION ONLY

PLEASE CHOOSE ONE:

ART from the HEART ADVENTURE SESSION for $30
ART from the HEART ADVENTURE SESSION FOR 2 People for $50

LAUGH YOURSELF HEALTHIER SESSION ONLY

PLEASE CHOOSE ONE:

5 PM LAUGH YOURSELF HEALTHIER for $10
5 PM LAUGH YOURSELF HEALTHIER for 2 People for $15
8 PM LAUGH YOURSELF HEALTHIER for $10
8 PM LAUGH YOURSELF HEALTHIER for 2 People for $15

BOTH SESSION

PLEASE CHOOSE ONE:

BOTH SESSIONS for $30.00 Per Person
BOTH SESSIONS for 2 PEOPLE BOTH FOR $50.00

Name of Friend if Bringing One

METHOD OF PAYMENT: (Please Choose One)

PAYING by Credit Card or PAYPAL after Submitting This Form
PAYING by BANK $ TRANSFER after Submitting This Form