Dynamic Discussions Registration Form
Dynamic Discussions is a parent education series hosted by Dynamic Therapy Specialists (DTS), designed to empower parents with the knowledge and skills to support their children’s development. Register below for the November 14 session titled, “To Discipline or not to Discipline?” How Do I Respond to My Child’s Behavior.
Attendee Information
Please fill name and contact information of attendees.
Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Will you have a guest with you?
Yes
No
Guest Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
What is your child's age?
Where does your child attend school?
Do you have concerns about your child's behavior? Please explain.
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