Part A: Applicant Information

Name:
D.O.B:
Gender:  Male Female
Company/Organization:
Job Title:
Email:
Mobile Phone Number:
Office Phone Number:
Experience/Training Background:
Reason(s) for attending:

Part B: Courses you wish to Enroll







Total amount payable:

Part C: Mode of Payment

Please choose:



Please inform Marina via email when you have transferred the course fee(s).

Please feel free to contact Marina Lim at Creative Play Therapy if you have any enquires.

Please note that submission of a completed registration form constitutes a firm booking, subject to the following terms and conditions. Any cancellations received after 1st November 2016 will incur an administration fee of SGD$100. Cancellations must be made at least 15 days before the start of the course begins. If delegates are unable to attend for any reason that is beyond the control of the organizers, such as transport problems, personal illness, bereavement, inclement weather, terrorism, or Act of God, it will not be possible to make any refunds of workshop fees.