Sign-up Form and Payment for
2012 Dyslexia Awareness Workshop
~Scroll to the bottom of the page for registration form~

We are offering a $10.00 discount for pre-registration off the $85.00 workshop and lunch fee. By pre-registering the workshop will cost $75.00 This discount is good up to March 30th, 2012 and one per attendee.

Registration Form for the Workshop

To sign up for the workshop, please fill out the form below and click the "SEND EMAIL" button at the bottom of the form. Your name will be added to the registration list for the workshop. We suggest you register early because seating is limited and will fill up quickly. Then come back to this page and click the "ADD TO CART" button at the top of this page to pay for the workshop.

If you prefer to pay by cheque, cash or money order please email us at khope@dyslexiavictoria.ca or call 250-715-3034 and we will give you an address to send the payment along with an emailed registration form to fill out and send.
Click here for Registration Form pdf for the Workshop

If you would like to put up a flyer about the workshop at your workplace or somewhere else we also have a pdf for you to download and print. We appreciate the support!! Click here for the Flyer for the Workshop pdf

You will have the options of paying by PayPal/Visa/Mastercharge.
Upon completion of your payment you will receive a confirmation email.

REGISTRATION FORM FOR 2012 DYSLEXIA AWARENESS WORKSHOP March 31st, 2012
Name
Company Name (if applicable)
Phone Number
Email Address
MESSAGE — Any additional information you would like to mention please enter it below.

COLLEGE STUDENTS For students attending college or university we are discounting the workshop fee and lunch to $50.00 upon presentation of a current student ID. If you would like to sign up as a student please click this link to register or email us khope@dyslexiavictoria.ca

Thank you! We look forward to seeing you there!

*We will be giving certificates for 6 hours of in service time for the workshop.