Workshop Certificate

If you would like us to email you a professional development certificate for attending the 4D Dyslexia Workshop Series and/or the 2009 Introductory Dyslexia Workshop, please complete the following details :

*Please complete all fields

*Your name (full name you wish to appear on your certificate):
*Your email address:

*Name of Workshop/s Attended:
Please tick those you attended/require certificates for:

	2009 4D Introductory Dyslexia Workshop
	2010 4D Parent & Child Workshop - creating the connection
	2010 4D Dyslexia Aware Best Practice Workshop - the new teaching paradigm
	2010 4D Dyslexia Advanced Workshop - achieving the 4D edge
	2010 4D Dyslexia Interventions Workshop - beyond great teaching, unsticking the 4%
	2010 4D Dyslexia Leaders Workshop - creating change through vision and empowerment
	2010 4D Workplace Workshop - celebrating difference, discovering the creative edge
	2010 4D For Difference Workshop - Attention, Autism Spectrum, Vision, Hearing, Challenging Behaviours and more!

This form may take a moment to process - thanks for your patience. Your certificate/s will be emailed to you in pdf format late August. Thanks