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An Introduction to Supported Conversation for Adults with Aphasia - April 2026 (Le Ka Shing) Registration

Please note: Participant seats are limited. Submitting this form does not confirm your registration. An email will be shared with you at a later time to confirm your registration.
1.First Name (Please register with the name you would like to appear on your certificate)(Required.)
2.Last Name(Required.)
3.Email address (organization emails preferred)(Required.)
4.Profession(Required.)
5.Organization(Required.)
6.Primary area of work on the care continuum(Required.)
7.Are you a member of the stroke team?(Required.)
8.I have discussed and received approval for the time commitment required for this workshop with my manager(Required.)
9.Please provide your manager's email address:(Required.)
10.Do you have any dietary restrictions? If so, please indicate below: