Going Home Workshop

Workshop Registration Form

Topic: Going home after a lengthy neonatal stay - What to expect, a parent's perspective

Date and Time: Thursday 23rd February 2017, 7pm

Place: Tom Dadour Centre, 363 Bagot Rd, Subiaco

Cost: FREE

Please complete the form below to register. If you have any specific questions/areas of concern, please note them in the form below and they will be forwarded to the presenter.

Attendee 1

First Name

Last Name

Attendee 2

First Name

Last Name

Email Address

Phone Number

Gender of Baby(s) - so we can include an appropriate gift

Questions/Areas of concern

Workshop Registration Form

Tiny Sparks WA

Igniting the fire within.

Tiny Sparks WA is Western Australia's premier charity for high-risk pregnancies and babies born sick or premature.