S.M.T./E.M.S. Training Registration Form

Registration Form/Formulaire d'inscription
The training sessions are offered in

English/Anglais

(S.M.T.) Simultaneous Multisensory Teaching

&

Les sessions de formation sont offertes en

French/Français

(E.M.S.) Enseignement Multisensoriel Simultané
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
To facilitate your training or your group's training, please complete the questions below. Upon submission, we will send you an email with available training dates.
I would like to register for a training session either as;

an INDIVIDUALor GROUP I HAVE ASSEMBLED
- Indicate which training session you would like to register for.

ENGLISH (S.M.T.) TRAININGFRENCH (E.M.S.) TRAINING
- Select your prefer method of instruction.

In-PersonVirtual
- Indicate how you would like the instruction to be delivered.

SaturdaysWeekdays

S.M.T./E.M.S. Program Materials and Costs(*Required Material for Virtual Sessions)

S.M.T./E.M.S. *Starter Kit ($165.00) Incl. Tactile Alphabet, Missing Letter Deck, Plastic Alphabet Letters, Blocks, Mirror.S.M.T. Levels *1 to 12 ($170.00/ per level) Incl. Teacher Guide, Activity Book and Cards.E.M.S. Levels *1 to 8 ($170.00/ per level) Incl. Teacher Guide, Activity Book and Cards.S.M.T. All Levels ($2040.00/complete program) Incl. Starter Kit, all Teacher Guides, Activity Books, Cards, Tactile Alphabet, Missing Letter Deck, Plastic Alphabet Letters, Blocks, and Mirror.E.M.S. All levels ($1360/complete program) Incl. Starter Kit, all Teacher Guides, Activity Books, Cards, Tactile Alphabet, Missing Letter Deck, Plastic Alphabet Letters, Blocks, and Mirror.
Payment Options

Once your training session has been confirmed, payment can be made using one of the following methods:

E-Transfer: Send to hadc.canada@gmail.com
Cheque: Payable to HADC and mailed to:207 Bayswater Ave, Ottawa, ON, K1Y 2G5
Date

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Date
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Registration Form/Formulaire d'inscription