Follow stammeringire on Twitter  

   

STAMMERING | STUTTERING

  
Home » Apply Online

Apply Online

Online Application Form
  1. (required)
  2. (required)
  3. (email required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. Your telephone number is very important to us, as we need to discuss your course with you. PLEASE ENSURE YOU INSERT IT ABOVE We do appreciate that the telephone is a problem for some people who stammer. However, please remember that we speak to more people who stammer, applying for a McGuire course, than people who do not. We are only interested in what you have to say, not how you say it.
  10. (required)
  11. (required)
  12. (required)
  13. (required)
  15. (required)
  16. (required)
  17. (required)
  18. (required)
Your Address
  1. (required)
  2. (required)
  3. (required)
  4. (required)
Prerequisites
  1. (required)
  2. (required)
  5. (required)
  7. (required)
  8. (required)
  9. (Note: Your video would be kept confidential and would not be shown outside the programme without your written permission.)
  10. (required)
  11. (required)
  12. I WOULD LIKE A COURSE AS SOON AS POSSIBLE PLEASE NOTIFY ME. I can arrange to attend a course at short notice.
  13. I wish to apply for a place on the course(s) indicated above. I confirm I have read and understood the literature provided to me by the McGuire Programme and that the information I have provided will be treated in the strictest of confidence by the McGuire Programme and the McGuire Programme California LLC. I appreciate that although the McGuire Programme has had a beneficial effect for many stammerers, it offers no guarantee of recovery from, or a cure for, stammering. Neither The McGuire Programme nor The McGuire Programme California LLC will be responsible for any direct or consequential effects which may arise from participation in its programme.
  14. (required)
  15. You can leave us a note
  16. (required)
  18. Captcha
 

cforms contact form by delicious:days