JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CVI Training & Workshop registration
Event Address: Eagles Nest lodge and conference centre, 373 Leslie Ave, Fourways, Johannesburg
Contact us at 083 212 2216 or info@neurogenesis.co.za for more info
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name & Surname
*
Your answer
Email
*
Your answer
Contact Number
*
Your answer
Profession
Your answer
HPCSA Number where applicable
Your answer
Please Tick all applicable training/ workshops you would like to register for?
*
17 – 22 June 2024 – CVI Professional Development Training
17 - 20 June 2024 - Mentorship program (only available to 2018 & 2022 Graduates)
24 June 2024 - What is CVI & why does it matter
25 June 2024 - My child has CVI - WHAT NOW?
26 June 2024 - Bringing the CVI Range report to life
27 June 2024 - Pathway to Literacy and Numeracy
28 June 2024 - Phase 3 Interventions
Required
Are you registering as part of a group?
Yes (please advise who the main contact person is below)
No
Clear selection
Main contact person when registering as part of a group
Your answer
Upon registration, you will receive an invoice for payment. In order to reserve your booking a 25% deposit is required, full payment will be due by 7 June 2024
Agree
Occupation/ Parent
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NeuroGenesis.
Report Abuse
Forms
