SASHA Registration Form
FRIDAY, APRIL 26, 2024 (Live Webinar via Zoom) 

Jessie Ginsburg, M.S., CCC-SLP and Chris Wenger, M.S., CCC-SLP
Making the Shift:  Revolutionary Methods for Autistic Kids

Registration Fee for SLPs: $150
Registration Fee for Students, Interns, SLPAs, Parents: $50

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First and Last Name: *
Address: *
City, State, Zip: *
Work Phone: *
Cell Phone: *
Email:  (*Registration confirmation, Zoom link, and workshop handout(s) will be sent to this email address.  Be sure to add "" to your address book.) *
ASHA #: *
State License #: *
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