Well-Being Certificate
REquest for Enrollment FORM

Name *

First Name

Last Name

Phone

Country

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Checkbox

In which 2025 Well-Being Certificate Training would you like to enroll?

IN-PERSON at The Wellife | Canton, ON on March 22-23 and April 12-13 | Sat/Sun for everyone

HYBRID at Westminster Preschool South | Marion, IN on April 5, May 17, June 21, July 12, and Sept 20 | Saturdays from 10:00 AM-3:00 PM for Grant County parents of 0-5 year olds

IN-PERSON at Lark's Song | Marion, IN on April 18-19 and May 2-3 for Grant County Early Childhood Educators

Contribution to Common Flourishing *

Select the option that best describes the financial contribution you're able to make toward your training. After your registration is accepted, you will be invoiced at the email address that you provide above based on your selection. You will be required to pay your invoice within 72 hours to secure your spot in the program.

$750 - I am flourishing and want the same for you.

$600 - I am fulfilled and comfortable and want the same for you.

$450 - I can contribute what honors my financial resources and trust that the community of flourishing at Lark’s Song will cover the rest.

I would like to apply for a scholarship to cover the financial cost of my participation.

I am an Early Childhood Educator in Grant County and am claiming a scholarship for the trainings on April 18-19 and May 2-3

I am the parent/guardian of a 0-5 year old in Grant County and am claiming a full scholarship for the Hybrid trainings