Conference Registration Form

Please provide the following contact information:

First Name
Last Name
Organization
Mobile Phone
E-mail

Choose one of the following options:

Member
Non-Member

Select any of the following options that apply:

ADD-ADHD Support
Cyprus Dyslexia Association
KAYAD
North Cyprus Dyslexia Association

Will you be attending one of the break out sessions?

Yes No

If yes, choose one of the following options:

None
AD/HD
Dyslexia