Seminar Registration – Beyond the Label

Seminar Registration Form

Championing Child Development Seminar Series

Please complete the form below to register for the seminar.

All fields marked with * are required.

Fullname: (as it should appear on your certificate)

Birthday

Age

Address

Gender

Male Female

Company / Institution / Group: (Write N/A if none)

CPD Units for: (Please indicate your profession or write N/A)

PRC License Number: (Write N/A if none)

PRC License Expiration: (Write N/A if none)

Email Address:

Phone Number:

₱900 – includes seminar kit and meal

Upload Proof of Payment

Mode of Payment:

Sponsorship & Partnership (Optional)

I would like to sponsor a participant I would like to become an event sponsor or partner

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