Student Registration Form
  • Welcome! You are enrolling for the Neufeld Institute course POWER TO PARENT III: Common Childhood Challenges starting in April 2017. Your course facilitator is Darlene Denis-Friske.

    Once we have processed your registration and payment, we will email you your campus credentials and orienting information. This normally takes 1-2 business days

  • Identifying Details:

    Denotes Required Field

    Otherwise, please provide us with the following information:
    Use the province/state and country selectors below for other information.
  • Were You Referred to Us?

  • Total Payment Required:

    Please note that payments are listed and charged as Canadian funds.

    Total for the course

    CAD$

    If you have been given a promotional code, please enter it here and include your explanation in the Notes field above.:

    Final Total CAD$
  • Shipping Details:

    Please note that you must be careful to provide an exact address to which we will ship your DVD set.

    Enter the shipping contact, address, city, province/state, country, and postal code/zip here.
  • PayPal Acceptance Mark

    When you click the 'Submit' button below, you will be directed to the PayPal site, where you can complete the payment for your enrollment. Note that you do not need an account with them to use a credit card for your payment to us. Click on the Don't have a Paypal account? option once you get to the PayPal site.

  • If you would like to arrange a payment via a sponsoring agency instead of paying personally via PayPal, please check here .

  • Electronic Communications

  • For security reasons, please enter the pink code into the box at the right:
    33429