GBT Registration Form
The Group Based Treatment (GBT) Training is a full one day course, with a pre and post Zoom webinar session.

COST:
The full cost to attend is approximately $500 (subject to change) per person. This includes:

- full day tuition

- all training manual / resources

- morning tea, lunch, afternoon tea

- pre and post zoom webinar sessions

- ongoing access to facilitators Professor Hayden McRobbie and Edward Cowley for any questions you may have at anytime re: GBT.

Please select which training you would like to attend *
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Employer's Organisation *
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Address of Organisation *
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Employer's Full Name *
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Employer's Work Contact No. *
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Employer's Mobile Contact No. *
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Employer's Email *
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Trainee's First Name *
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Trainee's Last Name *
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Trainee's Work Contact No. *
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Trainee's Mobile Contact No. *
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Trainee's Email *
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How long have you been a stop smoking practitioner? *
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