Workshops in Facilitated Communication Training

REGISTRATION FORM

WORKSHOPS IN FACILITATED COMMUNICATION TRAINING

Please register me for the following workshop(s):

£ October 5 & 6, 2017

Name:

Address:

Phone/Fax:

Name of Typer candidate:

How long have they been typing:

Will Typer be attending: (Yes or No)

Relationship to Typer: Parent/School Personnel/Professional/Mentor/Other

Email address:

WORKSHOP FEES: $125 per person. Cash or check made payable to “Syracuse University”. We are unable to accept credit cards.

Group or family rate for three or more people on request

Mail registration to :

Institute on Communication and Inclusion at the mailing address below or email to .

Do you intend to follow-up with a Skill Building Saturday session? (Yes or No)

330 Huntington Hall Syracuse NY 13244 ¡ (315) 443-9379 ¡ http://ici.syr.edu