Strengthening Families, Building Communities, Developing Minds

Registration Form

How to Assess Child Traumatic Stress Part 2

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Programme Information

Dates:
15th August 2017 (South)
17th August 2017 (North)

Venues:
#22, Harris Promenade, San Fernando, RC Church (South)
#15 Wainwright Street, St. Clair, Port of Spain (North)

Time: 8:00 a.m. – 4:00 p.m.


Which date and venue would you be attending?  15th August (South) 17th August (North)

Personal Information

First Name:

Surname:

Job Position Title:

Mailing Address:

Email:

Gender:  Male Female

Date of Birth:


Telephone Numbers

Work:
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Facsimile: N/A


Company Information

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Personal Considerations
Dietary:  Chicken Fish Vegetarian Physical Other


Financial Information

Please indicate how payment will be settled for this programme (The person/company indicated must sign in the space provided). Seats for this workshop are very limited and require a minimum down payment of 50% in order to secure your booking.

Preferred Payment:

 Manager’s Cheque Direct Deposit Cash Invoice required

  • Please be advised the cost per workshop is $350.00 TTD or $52.00 USD.
  • Payments may be made Via Cheque, Direct Depositor or Cash to TCHD Postgraduate Training Institute
  • Direct deposits are to be made to account 36076-30 for Trinidad and Tobago Dollars payments at any Bank of Nova Scotia Branch (Scotia Bank).
  • All payments (Cheque or Cash) or proof of payments (copy of the direct deposit slip) must be received at our Head Office – 9 Pasea Main Road Tunapuna during the hours of 9am to 5pm.


Declaration

Authorized Personnel

Date:

Applicant’s Signature:


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For additional details, please contact: TCHD Postgrad Training Department at: 1 (868) 374-9996/1 (868) 324-9095/1(868) 374-9814/1 (868) 317-3471