Restorative Practices Registration Form

Registration Form

Facilitating Community Building Circles

5 October 2026, 9.00am to 5.30pm

*(PCG Funding has been approved; subject to availability)

Cost: $300 per participant (materials and tea breaks provided)
What is your full name?
NRIC (For VCF Purposes)
Date of Birth (For VCF Purposes)

DayMonthYear
Date
Which organisation is lucky enough to have your employment?
What position in {organisation} have you been empowered with?
Designation
Please provide a contact number we can reach you.
Please provide an email we can reach you.
Name of another person in {organisation} for billing purposes
Email of another person in {organisation} for billing purposes
Non-mandatory field
Contact number of another person in {organisation} for billing purposes

Area CodePhone Number
Would you be applying for VCF pre-approval? (NCSS VCF Funding)
Any specific dietary requirements?

Other
Total Cost:
Be part of the restorative movement to break the hurt cycle.
Should be Empty:

Registration Form