The Autism Link
** Please fill out all fields **
Workshop date (select one):
Registrant’s Name:
Phone Number:
E-mail Address:

Child's Name: Child's Age:

What you are hoping to learn/specific concerns:

The cost of the workshop is $20, if registered two weeks before the date of the workshop. After that the fee is $30.
 Registration is confirmed with payment. Please make cheques payable to London Speech and Language Centre.