Fantastic Fingers® Sing, Play, Learn! Workshop Registration Form
I'm excited that you will be joining me in Orlando, Florida on 12 January 2020!

Please ensure that the email address provided is for the person attending the workshop
Email address *
First name of person attending workshop *
Your answer
Last name of person attending workshop *
Your answer
Profession *
Name of your work & work postal address *
Your answer
Best contact phone number (with area code) *
Your answer
Who will make payment? *
As part of the workshop fee you will receive $180 worth of product licences. Do you want to pay $30 to upgrade to a Hard Copy Package valued at $95 instead of the $45 eBook Package ? *
Terms & Conditions: If you need to cancel after having paid you will receive access to both electronic version products & be refunded the difference of US$70 ($250 paid) or US$120 ($300 paid) plus $30 if the Hard Copy Package upgrade was also paid. Do you agree to this? *
Would you be willing to tell others about this workshop if I emailed you a flyer, image or link to share?
How did you find out about this workshop? *
Would you like to receive my monthly newsletter by email e.g. activities, tips, training events, product updates etc.? This is a condition to receiving the District Wide FF Program Licence. *
If you are a US school based OT or teacher (register & pay before 21 December), provide your OT licence or PPID number & name of your school district if you want to receive the free bonus District Wide FF program licence.
Your answer
Do you have any questions that you'd like me to answer?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy