Crisis, Compassion, and Boundary Setting - Registration Form

In honour of Crisis Line Awareness Week 2019

 

Registration Part 1: Your Information

 

Select Workshop:
Duncan, March 13, 2019, 9:00 am to 12:00 noonCourtenay, March 18, 2019, 9:00 am to 12:00 noonCampbell River, March 18, 2019, 1:30 pm to 4:30 pmPort Hardy, March 19, 2019, 1:00 pm to 4:00 pmPort Alberni, March 25, 2019, 1:00 pm to 4:00 pmVictoria, March 27, 2019, 1:00 pm to 4:00 pm

 

Name

Email Address

Phone

 

Name 2

Email 2

Name 3

Email 3

Name 4

Email 4

Name 5

Email 5

Name 6

Email 6

 

Organization

Address

City, Province, Postal Code

 

Registration Part 2: Payment Method

As per our registration policies, payment must accompany this personal information form.

1. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)2. Cheque via post (not available within 10 business days of date of workshop presentation)3. PayPal Shopping Cart4. eTransfer payment via etransfer@vicrisis.ca

 

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Additional Comments:

 

I understand that payment is REQUIRED to be registered. Yes

I have read and understand Course Registration Policies for the Crisis, Compassion and Boundary Setting (CLAW 2019) workshop. Yes

 

 

 

 

Crisis, Compassion, and Boundary Setting Workshop

Workshop Description
Registration and Payment Options
Course Registration Policies
Pay via PayPal