AN INTEGRATIVE CHILD SEXUAL ABUSE PSYCHO-LEGAL EVALUATION PROTOCOL WORKSHOP

Please complete the registration form.

DATE: 5-7 JUNE 2025 - ONLINE VIA ZOOM

Email *

Title

* Prof./Dr./ Mr./Mrs./Ms.

Name and Surname

Address

Phone number *

Regulatory Body

* Example: HPCSA, SACSSP etc.

Registration Number

Private Practice/Institution/Organization

What is your level of experience with conducting child sexual abuse psycho-legal evaluations?

Beginner

Intermediate

Advanced

Are you interested in receiving information regarding upcoming workshops from Dr. de Villiers?

Comments

Venue: Online.

The ZOOM link will be sent closer to the time.

Are you a registered professional or an intern?

Banking details

Account name: B. de Villiers
Bank: Capitec
Account type: Savings
Branch code: 470010
Account number: 2388596498
Reference: Your name

Please email proof of payment to: belinda@belindadevilliers.co.za