REGISTRATION FORM
Restorative Justice Facilitation Training
Featuring Ted Lewis

WHEN:   Friday, May 17th and Saturday, May 18th, 2019; 8:15am - 5:15pm

WHERE: Center for Dialogue and Resolution

COST:
 
On or before April 26th $200.00
After April 26th $225.00
Student (with ID) or Current Active CDR Volunteer
$125.00
   
   

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 Training RSVP
1400 Cross Street
Eugene OR 97402

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 April 26th, 2019.

CANCELATIONS:  Full refund if you cancel on or before May 3rd.  Fifty percent refund if you cancel after May 3rd, but on or before May 10th.  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
first last
Title
Company
Address
street line 1
street line 2
, city, state/prov zip
Email
Phone
Fax
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
How did you hear about this training?
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