Listing as Sandplay TherapistDeveloping Group

South African Sandplay Society

Please complete form and return as a Word Document to Debby Kempthorne at debby@digitalspool.co.za

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: