Listing as Sandplay TherapistDeveloping Group
South African Sandplay Society
Please complete form and return as a Word Document to Debby Kempthorne at [email protected]
Name:Profession:
Professional Registration Number:
Address of Practice or Workplace:
Telephone:
Mobile:
Email:
Website:I am a
- Candidate - Certified Member ISST - Teaching Member ISST
I understand that a listing will cost R100 per year as a contribution to the cost of maintaining this website, as of the time when the Developing Group maintains a bank account.With my typed Signature and by returning this form by email I agree to the publication of this information on the Website.
Date and (typed) Signature: