Sethu - Participant Registration Form

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To be filled by participants to register for webinar's, training's, workshop's

Email *

Instructions to fill the below form.

Please
1. enter your name correctly.
2. enter your mobile number correctly.
3. enter your email id correctly.
4. ensure that you click on submit once you fill in all the details.
5. check your email for the confirmation email for your form submission.

Salutation

Mr.

Mrs.

Dr.

Ms.

Clear selection

Full Name *

Mobile Number *

You are attending This program in your capacity as a *

Parent

Teacher

Special Educator

Paediatrician

Psychologist

Community Worker/Social Worker

Student

Occupational Therapist

Counsellor

Speech Therapist

Staff

Would you like to be added to the Sethu mailing list to receive intimations on our upcoming programs via email & whatsapp *

Yes

Workshop/Lecture *

Please send in your questions

Company/Clinic/School currently working with

Would you give consent to use photos/videos of the attended training/webinar/workshop for our reports or on our digital media

Yes

Clear selection

How did you get to know about this workshop/webinar *

Facebook

Instagram

Word of mouth

Please note:

Payments must be completed at least 7 days prior to the event.

Cancellation Policy:
No cancellation charges apply 7 days prior to the event, after which refund is not possible.
Thank you, looking forward to seeing you at the session.

If the poster says its a free webinar, please ignore the above message about payment

Submit

Clear form

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