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The TIM Academy Registration Form

Please enter the following information and click next. You may mail a purchase order or check to the address below.

Michelle McGurl
The TIM Academy
973 Old Lancaster Road
Berwyn, PA 19312

School District or Support Service Agency:
(If Applicable)
Day Phone :  
Evening Phone :  
Email :  
Parent or Professional : Parent


I would like to attend:

Structured Teaching (Level I) - June 25th thru June 28th, 2024
Beyond the Basics (Level II)  
Changing Challenging Behaviors
Structured Teaching for the Included Child
Tour of the Timothy School  - Available Upon Request

Purchase Order or Check#:         
Years of experience with children diagnosed with autism 
Current position: 
Student Age range:            
* If you are a professional seeking ACT 48 hours, please provide the following information:
Pennsylvania Personal ID# :    OR

Type the above number: