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Thank you for registering for the workshop "Working with Neurodiverse Children + Dyslexia SERIES "

January 8th, 15th, 22nd and 29th - 2020
Online or Harmony Montessori School

We need to ask you a few questions before the workshop in order to better prepare for that day. Thank you in advance for completing this form!

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* Which training modality will you use?

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* Please indicate your name as it should appear on your CERTIFICATE

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* Your Name - As you want it on your NAME TAG

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* What is your Gender Pronoun? (for example he/him, she/her, they/their or another pronoun)

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* What is your email address? (we will NOT share this information with third parties - ever!)

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* Are you or your school OMA members? (OMA members always have a discount!)

You will pay at the end of this survey.

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* What is the name of your school/organization?

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* What is your physical address?

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* For questions about accessibility or to request accommodations please contact OMA's Workshop Committee (workshop@oregonmontessori.org)

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