Registration

Question Title

* 1. Full Name & Surname

Question Title

* 2.  Your Email Address

Question Title

* 3. Contact Number

Question Title

* 4. Please state your profession.

Question Title

* 5. Please state the name of your school, if applicable

Question Title

* 6. How many years of experience do you have working with learners with ASD?

Question Title

* 7. What age group do you work with?

Question Title

* 8. What are your expectations from this course?

Please pay R1200
Send proof of payment to rochelle@rtspeechtherapy.co.za

Account Holder: Rochelle Thanjan
FNB Cheque Account: 62655 231 745
Reference: Name + ASDcourse

T