Educational Therapists of the Carolinas Membership Form
Annual Membership fee is $25. Please make checks payable to Educational Therapists of the Carolinas mailed to 16152 Haroa Court, Tega Cay, SC 29708 or request a PayPal link to pay online.
Email address *
Name *
Phone Number *
Mailing Adress *
Is this a membership renewal? *
What therapy/certification level do you provide? Check all that apply. *
Required
What other organizations and techniques or therapies are you involved in? *
What type of practice are you in? *
If practicing in a school, which school?
If private practice, where is your practice?
Would you like to register for the February 1, 2020 Winter Conference: Embracing the Whole Child? Pre- registration is $45 and includes lunch. *
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