Safe Church Workshop Registration
Please complete your details below to register for these Safe Church
Workshops hosted at Uniting Churches in NSW and the ACT.

Workshops listed are "Awareness" (Full Introductory) workshops
unless noted otherwise.

Please ensure you read the workshop details on the following page:
http://ume.nswact.uca.org.au/2017-safe-church-awareness-workshops/

Please complete this form for each participant.
For a bulk registration, please email directly safechurch@nswact.uca.org.au

Surname / Family Name *
Your answer
Given Name / First Name *
Your answer
Contact email
(This is the email address which will be used to record your attendance on the database.)
Your answer
Which workshop are you registering for? *
Please select from the list below. If the workshop you were looking for is not in this list, please phone reception to enquire directly (02 8838 8912).
Suburb/Town of residence? *
(Note: Please DO NOT put your full address.)
Your answer
Your church/congregation's name and location? *
(Please include denomination if not obvious from the name)
Your answer
Your leadership/volunteer role(s) at your church? *
eg. SRE teacher, youth/children's leader, Elder, Church Council, Minister
Your answer
If you are eligible to attend a REFRESHER workshop, please include the date and location of your last workshop:
(A rough answer is better than nothing as we need to check you have already done the full workshop.)
Your answer
Contact Phone Number:
(If no email provided, please identify the best daytime and/or mobile contact.)
Your answer
Do you have any dietary requirements for morning/afternoon tea?
Please note that you will need to bring your own lunch to most workshops, but light refreshments are usually provided.
Your answer
Would you like a copy of your Certificate of participation after the workshop? *
Required
Submit
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