REGISTRATION FORM
Restorative Justice (Victim/Offender) Mediation
Featuring Ted Lewis and Chris Jackson

WHEN:   Saturday, May 20th and Sunday, May 21th, 2017; 8:30am - 5:30pm

WHERE: University of Oregon, Knight School of Law

COST:
 
On or before May 1st $200.00
After May 1st $225.00
Student (With Student ID) $125.00
Special Rate - LCDA, DYS, PDSLC $150.00
Active Volunteer (Approval Needed) $75.00

LIMITED SEATING:  You must pre-register; no walk-ins. 

PAYMENT METHODS:  You may pay by check or credit card. By check send payment to:
Center for Dialogue and Resolution
Restorative Justice Mediation Training RSVP
93 Van Buren Street
Eugene OR 97401

To pay online you'll be prompted to pay after completing this registration. Follow the paypal links.

LATE REGISTRATIONS:  The cost of the training will be $225 if you pay after May 1st, 2017.

CANCELATIONS:  Full refund if you cancel on or before May 5th.  Fifty percent refund if you cancel after May 5th, but on or before May 12th.  NO REFUND if you cancel after May 12th, or fail to be present on either day of the training.

PRIVACY POLICY:  Your privacy is important to us.  We will never sell or otherwise provide your contact information to any non-related third party.

Name
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Company
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I have completed a 32-hour Mediator Basic Training:
Yes
No
I currently work in the fields of criminal justice, education or social services.
Yes
No
If yes to the previous question, please list your organization here:
I am taking this training because:
I want to volunteer as a victim/offender mediator or community member for CMS
I want to learn more about Restorative Justice, but not necessarily to volunteer
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