01. Registration Form

Contact Details

First Name

Last Name

Position

Email Address

Mobile Number

Emergency Contact Name

Emergency Contact Mobile Number

Organisation Address

Organisation

Organisation Address

Address City

Address Country

Address State

Address Postcode

Standard

AMOUNT

550.00

TOTAL

Summary

Terms and Conditions

Please note that when you register, you will be agreeing to the following: 1. Disclaimer: This course's content is directed at appropriately licensed and trained practitioners. 2. Course cancellation: In very rare cases, due to clinical demand or other unforeseen, unavoidable reasons, courses may need to be cancelled. In this instance, registrants will be advised urgently and will receive a full refund for registration fees. REFUND POLICY Refunds • Cancellation 30 days or more before event: 80% refund (to cover administration fees). • Cancellation less than 30 days before event: no refund. • Cancellation must be in writing: please contact ahlearninghub@alfred.org.au as soon as possible to notify of cancellation.

Agree

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Contact Details

Organisation Address

Registration Questions

AHPRA registration number

Years of clinical experience working in neurological-rehabilitation

Highest degree completed

Do you have any accessibility requirements we should be aware of to support your participation in the course?

Summary

Terms and Conditions

Payment