Register Now: Executive Function and the Brain Workshop

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Contact Information

First Name: *

Last Name: *

Address: *

Postal Code: *

Phone Number: *

Email: *

Emergency Contact - Name, Relationship, and Number (include cell and work number when relevant): *

How did you hear about this workshop?

Participant Profile

Please provide a brief description of your experience as an educator. *

What are the reasons you feel this workshop will benefit your practice? *

Are there any topics of particular interest for you in the area of Executive Function?

Select Workshop Date: *

Saturday, February 29th, 2020

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