Towards a Better Life Event Registration Form 30 and 31 October 2019

Towards a Better Life Workshop

Wednesday 30th and Thursday 31st October 2019

Pennant Hills, Sydney

Please fill in the form below. One per person.

Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail address:*

Best contact number (preferably mobile):

Role: (manager, support worker, family member, advocate, teacher etc)

Organisation you are from:

Interest (Disability, Aged Care, Mental Health etc.):

Previous SRV/PASSING events: Please list events attended, when, where, Accredited Teacher of SRV):

Any additional needs: i.e dietary, access etc.)

REGISTRATION COSTS EXPLAINED:

$80 People with disability, family members and students: This is for people with disability, family members, students, health care card holders who are attending and paying as an individual from their own resources. If you are a student, please contact us to enquire. This rate also applies for agencies and advocacy organisations who wish to sponsor people with disability, family members or citizen advocates who use their service or organisation or volunteer.

$200 Advocacy organisations: This rate is for people attending who are employed by or represent an advocacy organisation.

$300 Professionals: This rate is for professionals or people with disability and families who are attending who are employed by or represent a service, support organisation, company or corporation.

WHAT DOES THE COST INCLUDE?

Workshop package – reading materials, presentation handouts, morning and afternoon tea and lunch.

Please select payment option:

By Direct DepositBy Cheque

Please Select Registration Type:

$80 People with disability, family members and students$200 Advocacy organisations$300 Professionals

Cheque: Please make cheques payable to Foundations Forum Inc. Address to post is: Foundations Forum, Suite 704, 88-90 George Street, Hornsby NSW 2077

By Direct Deposit:

Name of depositor on bank statement: Commonwealth Bank Account Name: Foundations Forum Inc. BSB: 062-140 Account No. 10105942. Please use participant name as a unique identifier or send us advice of the deposit.

Please tick if you require an invoice to be sent to you.

CONFIRMATION OF REGISTRATION:

You will receive a ‘Dear Participant’ letter one week prior to the workshop with more details about the workshop and the venue. It is essential that you read this before the workshop. If you have not received this letter one week beofre the workshop, please contact the Event Coordinator Rhiannon Brodie: foundationsforum@foundationsforum.info or call
0415 310 890.

VENUE:
The two day workshops ‘Towards a Better Life’: introduction to SRV Theory event will be held at the Pennant Hills Bowling Club, 52 Yarrara Road Pennant Hills, NSW 2120

Free Parking is available on site or 5-minute walk from Pennant Hills train station.

RSVP: By Wednesday 23rd October 2019

CANCELLATION POLICY:

For all events other than a PASSING event, if a cancellation is made:

1+ weeks before the event, a full refund will be given
Within a week of the event, a 50% refund will be given
However, in all cases an eligible substitute registrant may attend.