DIR Floor Time Workshop (1ST - 2ND JULY 2019)
Please list your registration details below. All group bookings must include a SEPARATE registration form submitted by each attendee yet ONE LUMP sum payment is required to qualify for the discount. Thankyou.
Email address *
Full Name *
Your answer
Mobile number *
Your answer
Occupation *
Your answer
Dietary Requirements *
Your answer
Part of a group booking? (please note: group discount only applies for 3+ people - All group bookings must include a SEPARATE registration form submitted by EACH attendee yet ONE LUMP sum payment is required to qualify for the discount. *
If part of a group booking, please list the primary contact and Organisation name
Your answer
If part of a group booking who should the receipt be issued to? ( ie if your workplace is paying, the organisation is issued the receipt yet all attendees will be listed in the details section. Alternatively if payment is paid privately and not by your organisation again only the person paying the lump sum can be listed on top and all other attendees will be listed in the details section)
Your answer
Notes (access/assistance/questions)
Your answer
How did you hear about this workshop? *
Required
A copy of your responses will be emailed to the address you provided.
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