Are you an individual or an organization? Are you an individual or an organization?IndividualOrganization

Name of Organization

Name

Surname

Please upload your list of attendants. Download List Of Attendants Template then fill it in, and upload your completed list using the 'Choose Files' button. File InputChoose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, js, dotm. Max. file size: 4 MB

Do you have any notes or special requests?

ID Number

Profession Profession *ParentCaregiverTeacherAssistant teacherTutorOTSTPTOther

Name of school / Place of work

Profession Board Registration Number

Phone

Email Address

Optional Extras Optional Extras Fine-Motor Development Handbook @ R250

Agreement Agreement I understand that this registration form must be submitted with a valid proof of payment on or before the registration closing date. (Banking details for EFT are available below.)

Organization Agreement Organization Agreement I am authorized to make this booking on behalf of my organization, and I understand that this registration form must be submitted with a valid proof of payment on or before the registration closing date. (Banking details for EFT are available below.)

Hand Signature SaveClear

Please upload your Proof of Payment here Proof of payment is a required attachment for your registration. Please select and upload it using the 'Choose Files' button. File InputChoose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, png, pdf. Max. file size: 20 MB