Online Course Registration Form
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Email *
Which course(s) will you be registering for? *
Required
Name & Surname *
Would you like to be added to our mailing list for future courses and promotions? *
Are you registering for yourself? *
Full name and surname for certification: *
Date of birth *
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/
DD
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YYYY
Residential Area: *
Mobile number *
Gmail Email account that ends with @gmail.com (needed to access Google Classroom, eg. john@gmail.com). No other gmail emails are accepted.  *
Current occupation *
SACE number (If applicable)
Current Qualification *
What is your motivation for enrolling in this course? *
What age group are you interested in supporting? Why? *
Do you have prior knowledge of Specific Learning Difficulties? *
How did you hear about this course? *
Any other questions or comments?
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