Roundtable Registration
FOCUS Individual Member - please enter your REGISTERED membership email  

FOCUS School/Corporate Member - please enter your SCHOOL /CORPORATE email

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Email *
Are you a FOCUS member? *
Salutation *
First Name *
Last Name *
Contact Number *
e.g. 1234 5678
Are you bringing guest(s)? *
Total number of attendees (including yourself) *
Guest's Name
Please provide full name of your guest(s) and add a "," comma if you bring more than one guests.
Please provide the below information which will help us to better group liked interests when appropriate.
From what perspective are you attending this session? *
Please choose from below if you are attending this event as an educational or healthcare professional?
What is the child/student age you are mostly concerned about? *
Biggest challenges *
Please share one or two of your biggest support challenges and give details of your situation as if you were explaining to a friend.  We will not share individual personal information but we might use it as anonymous examples.
Tell us two things you want to learn or get support from this event.
How did you learn of this event? *
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