Registration

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1. Full Name & Surname

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2.  Your Email Address

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3. Contact Number

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4. Please state your profession.

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

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

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7. What age group do you work with?

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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

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