FIE Basic 1 Program - Registration Form 2019
FIE Basic 1
Date : December 7, 8, 11, 12 & 13, 2019
Fee : HKD 10500
Trainer : Ms. Livia Wong
Please complete this registration form.
Salutation *
Surname *
Your answer
Other Names *
Your answer
Address *
Your answer
Contact Phone No. *
Please state country code. For example : +852-63983734
Your answer
Email *
Your answer
Highest Educational Attainment (Please select one) *
Profession/Occupation *
Your answer
Place of Work *
For example : Primary School, Hospital, Clinic, etc.
Your answer
Previous Feuerstein Training
Please write course name, number of instruments studied, year, training center and certificate number, e.g. IE-1, 7 instruments, 2013, Shoresh, 12345
Your answer
I heard about the Feuerstein Workshops from :
Context(s) in which you plan to use the IE methods :
Notes: *
1.The personal information collected would be sent to Feuerstein Institute, Israel for certification process and used for providing updates of Feuerstein certification and courses. 2. Should the program be cancelled due to bad weather conditions or other unforeseeable circumstances, the organizer shall try to re-schedule the program whenever possible. 3. Limited seats are available. Registration is on a first-come-first-served basis. 4. No registration fees shall be refunded upon confirmation except for cancellation of the course(s) by Amaze Learning Solutions. 5. All courses run on a minimum number. If Amaze Learning Solutions cancels your course, you will receive a full refund.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy