Title (Prof, Dr, Mr, Mrs, Ms etc.)

Name

Surname

Position/job title

Contact number (landline including dialing code; or mobile)

Fax number (include dialing code)

Postal address (include province and postal code)

Name of organisation/department/institution

Please indicate in which sector you work

Professional board

Professional board registration number

Alternative contact number (including dialing code)

Are you currently involved in teaching or training?

Yes

Course content

What are you interested in finding out more about on child rights and child law?

What is your particular area of interest in child health?

How do you hope to apply your training in the workplace?

TERMS AND CONDITIONS

No refunds can be given if you simply change your mind about attending a course. Refunds are given only if the Children's Institute cancels the course or in cases of illness, accident or emergency. We will require a doctor's certificate if you withdraw for medical reasons. Cheque or cash payments will be refunded electronically. Please note that no refunds will be processed without the relevant documentation.

Terms and Conditions Agreement

I accept the terms and conditions as set out above.

Copyright Agreement

I agree to acknowledge the Children's Institute in the use of any of its publications and/or information on this website.

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