MANAGING CHALLENGING BEHAVIOUR Dr Lam Chee Meng by fpe17463

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									                                     REGISTRATION FORM

                  MANAGING CHALLENGING BEHAVIOUR
                          Dr Lam Chee Meng
                          For Parents/Caregivers and Professionals
             working with/caring for individuals with an Autism Spectrum Disorder
                    (Primary/Secondary & Special School level and older)
                                 June 25, 2008 (Wednesday), 6 pm – 9.30 pm
                                              Pathlight School
                                          Closing Date: June 18, 2008




     ORGANISATION DETAILS (for participants sponsored by organisation/school)

     Stamp School or                                                     Registration Approved by:
     Organization Name
     & Address here:

                                                                            (Name & Signature of School
                                                                          Principal or Head of Organization)

     Registration Liaison Person: ____________________________________________________________

     Tel:____________________ Fax:_______________________ Email:___________________________


     INVOICING DETAILS


     Total Participants attending:   ____ X S$160.50 = S$_______

     Name on invoice: ____________________________________________________________________
     Name of person invoice to be sent to:_____________________________________________________
     Mailing Address: ______________________________________________________________________
                       ______________________________________________________________________

     Tel: ____________________ Fax: ______________________            Email: _________________________




Autism Resource Centre (Singapore) Training & Consultancy    GST no. M90357173G    www.autism-we-can.com
6 Ang Mo Kio Street 44, Singapore 569253 Tel: +65 63233258   Fax: +65 63231974     Email: lina.kam@autism.org.sg
     PARTICIPANT’S INFORMATION
     (If there is more than 1 participant, please SIGN & DATE this page and complete Appendix 1)

     Name:                              NRIC NO.                            Designation:


     Home Address:


     Contact No. (O/HP/H):                                   Email:




     TERMS AND CONDITIONS:

     •   Complete the Registration Form. The completed Registration Form, together with full payment,
         should be submitted to Autism Resource Centre (Singapore) or “ARC” at No. 6 Ang Mo Kio Street 44,
         Singapore 569253.

     •   Payment can be by Nets at ARC office or by cheque. All cheques must be crossed and made payable
         to “Autism Resource Centre (Singapore)”.

     •   Confirmation of registration is at the discretion of ARC Training & Consultancy and is subject to
         availability of seats. Only fully completed registration forms with full payment will be accepted for
         consideration.

     •   There will be no refund of fees upon cancellation; however substitution of participant is allowed.
         Substitution request has to be made in writing and reach ARC four (4) working days before the
         workshop/course.

     •   ARC Training & Consultancy reserves the right to make changes and disclaim responsibility should
         any change(s) in this training event occur. In the event of cancellation by ARC Training &
         Consultancy only, a full refund of the fees paid will be made and no other claims allowed.

     •   For further information and/or clarification, please contact Peggy Chan or Lina Kam on telephone
         number        6323 3258 from Mondays to Fridays, between 8.30am to 5.30pm, or email Lina at
         lina.kam@autism.org.sg



     I acknowledge that I have read, understood and agree to the aforementioned terms and conditions.


     _________________________________                                               ________________
     Signature of Participant/Liaison Person                                         Date




Autism Resource Centre (Singapore) Training & Consultancy    GST no. M90357173G     www.autism-we-can.com
6 Ang Mo Kio Street 44, Singapore 569253 Tel: +65 63233258   Fax: +65 63231974      Email: lina.kam@autism.org.sg
     APPENDIX 1 - PARTICIPANTS’ INFORMATION



                                               Designation/         Contact        Email address
     Name of Participant         NRIC No.
                                               Occupation             No.




Autism Resource Centre (Singapore) Training & Consultancy    GST no. M90357173G   www.autism-we-can.com
6 Ang Mo Kio Street 44, Singapore 569253 Tel: +65 63233258   Fax: +65 63231974    Email: lina.kam@autism.org.sg

								
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