Autism Training Series

  
  Training Workshop Registration Form  
     
  Registration Fee: $500 for both days     
 
Name:   
School: City/Town:
I work with Grade levels:     
Preschool    Kindergarten   
1 to 5             6 to 12  
Address:
Phone: Email:
Spam Protection: Please type these characters in the text box below:
     
 
 

Register early to insure enrollment
Certificate of attendance available

  
     
  For additional information contact:
Dr. Ajamu Nkosi, Director of Clinical Training
Southern Behavioral Group                                                Phone: 678 389-7347   
1950 Spectrum Circle                                                    Fax:     404 592-6553
Marietta, GA 30067                                                               E-Mail: ankosi@southernbehavioral.com		  
     
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