Workshops 2017 Registration Form

Please fill in your information below.

Our workshops are relevant to parents, caregivers and professionals supporting children and young people under 19 years of age.

Question Title

* 1. Choose workshop

Anxiety and Autism

Creating Visuals

Using Stories to Help Social Learning

Supporting Bonding & Attachment

Calming Strategies for Children with ASD

Understanding Behaviour

Social Play

Introduction to Autism

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* 2. What city or town would you like to attend?

Kaitaia

Whangarei

Auckland

Paeroa

Tauranga

Hamilton

Rotorua

Taupo

Hawera

Whanganui

Palmerston North

Wellington

Christchurch

Nelson

Takaka

Other (please specify)

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* 3. Workshop date (if known)

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* 4. What is your first name?

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* 5. What is your last name?

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* 6. What is your email address?

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* 7. Attendee type

Parent/Caregiver

Adult Family Member

Professional (I understand I'll be sent an invoice)

Other (please specify)

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* 8. What is the age group that is most relevant to you?

Under 8 years

8 - 12 years

13 - 18 years

All children and young people under 19 years

Workshops 2017 Registration Form

Question Title

* 1. Choose workshop

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* 2. What city or town would you like to attend?

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* 3. Workshop date (if known)

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* 4. What is your first name?

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* 5. What is your last name?

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* 6. What is your email address?

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* 7. Attendee type

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* 8. What is the age group that is most relevant to you?

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* 9. Phone number

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* 10. Address