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CARE CORNER TRAINING ASSOCIATION www. Carecorner.org.sg/services_training.html

REGISTRATION FORM Register By: April 20, 2015 Workshop : Foundations of Play Therapy Relationship Date : June 5 & 8, 2015 Time : 9.30am to 5.30pm Venue : To be confirmed Fee : SGD $800

Below are my information : Name as per NRIC/姓名 : Gender : Contact Telephone Mobile: Office Tel :

Designation NRIC No :

Yr E-mail

Name of Employer

Related Work Experience /Highest NameQualification of VWO : that apply for VCF / ( this will also be Billing Party & address) * I have applied for VCF & Details of Payment : the VCF Ref LT# is :

Kindly Note(1) : VCF Requirement as stated below. Note(2) : As seats are limited, registration is confirmed upon payment on a first-come-first-serve basis Note (3) : CCTA reserves the right to cancel and/or make amendments and changes

Note(1) : Participants funded under the VWOs-Charities Capability Fund (VCF) will be required to achieve at least 75% attendance in order to be eligible for VCF. Participants who fail to achieve 75% attendance will be required to pay the full course fees.

Participants and their Organisations will be liable for full course fees in the event that the participants fail to meet the attendance/assessment requirements and/or terms and conditions for VWOs-Charities Capability Fund eligibility.

I have noted the conditions set forth above and will be responsible to abide and comply as stated.

Name/Signature Organisation Chop

Steps To Register :- (1) Email completed registration form to [email protected] (Tel – 6250 6813 x 124) (2) Remit payment to our Bank Account : OCBC 501-859771-001 (Care Corner Training Association) (3) Once (1) & (2) are emailed and received by CCTA, an email will be sent as acknowledgement (4) Notice of Confirmation will be emailed to participants 2-weeks prior to actual course date