Conference 2017

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Name

Email Address

Job Title

Place of Work

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Work Address

Which days do you wish to attend? ... 9th November 2017 10th November 2017 Both Conference Days

Do you have any Access and/or Dietary requirements? If so, what are they?

Do you qualify for a bursary discount? ... Yes No

Which of the following applies to you? ... I have attended the conference previously I have worked with the ADHD Foundation previously I am a Nurse I am a SENDCO I work in a small school (150 pupils or less) I work in a special school None of the above

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