Training Registration

First name *

Last name *

(This name will be used for your Certificate)

Date of birth *

Email *

Phone *

Your current address *

City *

State *

Postal code *

Select your parish *

Select primary category *

Please select your primary role *

Other role if relevant

Have you attended safer church training modules previously? *

Yes

Which date you attended the training? *

Select your preferred training location & Date *

Do you have current working with children Check ?*

Yes

Are you willing to obtain a WWCC? *

Yes

Your working with children check number *

Working with children check date of expiry *

Emergency contact full name *

Emergency contact relationship *

Emergency contact number *

What would be your learning goals form this course? *

Sorry, we can not proceed training registration