Men's Behaviour Change – Online Registration

Please enrol me in the 40 Hour, 16 weeks at 2 and ½ hour per week Men’s Behaviour Change Program.







:

Who Referred You?:





Please select the appropriate responses:

Do you have a Court Order to do this group?

  Yes     No

Do you have an Intervention Order?

  Yes     No

Are you currently living with your partner and children?

  Yes     No

When are you next appearing in Court?       

Registration Process and Conditions:

  • I see from the website that there are still vacancies for this program. Please check if you are not sure.
  • I agree that I will attend all 10 sessions to receive my certificate. I understand that if I miss two or more sessions, irrespective of reason, only a letter or attendance will be given at the conclusion of the program.
  • No progress or summary reports are given at any time. Attendance letters only may be given.
  • If I withdraw from the program due to change of mind or for any and all circumstances after the deadline date I will not attract a refund. Registering for another course at a later date will incur the usual fee.
  • I am aware of the Deadline Date for this program indicated on the webpage
  • Withdrawing from the program when fees have been paid before deadline date will attract a refund minus $50 administration charge.
  • I agree to comply with other group rules and code of conduct (e.g. mobile phones, start and finish times etc) as discussed.
  • I note that this course will not run during public holidays and will be extended to cater for this.

By typing my name in the space below and submitting this form, I am confirming that I have read and understood the above mentioned conditions.

I, have read and agree to comply with the above-mentioned Registration Process and Conditions.

Please read the general Course Terms and Conditions .                                                                                                                                                

Please enter course start date:                                                                                                      
Click here for course dates (Opens in a new window)

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