Registration form for CENOP workshops - 2011-2012

Name of participant: ________________________________________________________________________

Organisation: ______________________________________________________________________________

Street Address: ________________________________________________________________________________

City: _____________________________________________ Postal Code: ___________________________

Phone / home: _______________________________ Phone/ office: _____________________

Fax : _____________________________ Email: ________________________________________

 

I would like to register to the following workshops:

 

100 

Neuropsychological Evaluation for Children and Adolescents (6 heures)

Next Dates T.B.A.

101 

Interpretation of the WISC-IV with case studies (3 heures)

Next Dates T.B.A.

103 

Interpretation of the NEPSY-II with case studies (6 heures)

Next Dates T.B.A.

301 

Interpretation of the TEA-Ch (3 heures)

Next Dates T.B.A.

601 

Dyspraxia (3 heures)

Next Dates T.B.A.

 

*Please note: dates are updated as soon as a workshop is sold out.

Once completed, please send this form to the address at the bottom of the page, along with 60$ (cheque or money order) payable to ‘CENOP-FL’ to confirm your registration. We will send you a confirmation once the deposit is received.

Information sur les SymposiumsFor more information or to register, contact Danielle Daigle at (514) 858-6484 ext. 229 or developpement@cenopfl.com

Please note that the Centre reserves the right to cancel a workshop if we do not obtain a sufficient number of registered participants.