CHILD DEVELOPMENT CENTRE OF OAKVILLE
PRESENTS

Workshop #4: Teaching Verbal Behavior

Hands-on Training for Tutors & Therapists

Conducted by Cherish Richards, BCABA & Holly Smith, BCABA

 

June 4 & 5, 2002

Oakville, Ontario

Hilton Garden Inn

2774 South Sheridan Way, Oakville, Ontario

Tel: (905) 829-1145

AND 

June 6 & 7, 2002

Oakville, Ontario

Hilton Garden Inn

2774 South Sheridan Way, Oakville, Ontario

Tel: (905) 829-1145

Registration Information:

.mail this form with payment to:            Child Development Centre of Oakville

                                                         410 North Service Road East, Unit 1

                                                         Oakville, Ontario   L6H 5R2

7 print and fax this form to: (905) 849-0424  (*credit card orders only)

(request a workshop registration form by calling (905) 849-7993 or request through e-mail at tracie@cdco.com

 

Ÿ         registration is limited to 20 participants per workshop – register early to confirm your attendance

Ÿ         registration prerequisites are enforced – please check attached workshop description for information

Ÿ         registration includes continental breakfasts, juice/fruit/cheese & cracker breaks, training materials, and a   2-day certificate of attendance at the completion of the second day.

Ÿ         Note:  There will be no on-site registrations or refunds available

 

Personal Information:

 

Name: __________________________________________________

 

Address:_________________________________________________

           ________________________________________

 

Affiliation: q Parent  q Professional   q other __________________

 

Receipt Issued to:   

q same as above      or

 

Name: ____________________________________________________

 

Address: _________________________________________________

 

 

_________________________________________________________

 

 

Tel: (H)  ___(______)__________________________

Tel: (B)  ___(______)__________________________ext. _______

                                                                                               

Fax:      ____(______)__________________________                                                                                       

E-mail:  _____________________________________                                                                                         

 

 

 

Tel: (H)  ___(______)__________________________

 

Tel: (B)  ___(______)__________________________ext. _______

                                                                                               

Fax:      ____(______)__________________________                                                                                       

E-mail:  _____________________________________

 

Dates:

I will be attending the:                         q June 4 & 5, 2002 Training             or            q June 6 & 7, 2002 Training     

Fees:                                                                                     

·          $630.00 per person with the accompanying registration form

or

·          $315.00 deposit with the registration form (by cheque or VISA)        and

·          $315.00 balance due May 15, 2002 (by post-dated cheque to accompany registration form or balance processed on your VISA)

 

                                               

Payment enclosed and payable to Child Development Centre of Oakville-Speech by:   q cheque      q money order   or                           

 

q VISA         Cardholders Name:  _____________________________________

 

                      Cardholders Number:                ___________________________________      Exp. Date: _________/__________                                                                                                                                                                                                  month  /  year