Services Request

Breath Control Service Request Form

If you, your organization or your community require a BreatheFirst wellness presentation, workshop, training or resource, please complete the following request form:

Name(Required)

Email(Required)

Phone

Position

Community/Organization/Program

Service Request Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Services Requested

Frontline Worker Training

Workshop

Start Date

Time

:

End Date

Time

:

Topic(s)

Estimated number of people in attendance

Additional information

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+ 1 (250) 667 7722

Call us for more information.

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Nanaimo, BC

2850 Glenayr Drive

V9S 3S6

Vancouver Island, Canada

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Mon-Sat: 8 am - 7 pm

Sunday: Closed

Register and Learn to Breathe

Performance

Recovery

Resilience

Contact

1 (250) 667-7722
2850 Glenayr Drive
Nanaimo, BC V9S 3S6

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