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TEEN SMART Registration Form

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We are in the process of reviewing our fees and will have new prices next year. 

 

* Payment details provided via email after completing the registration form below.

Tea, coffee and biscuits will be provided


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PLEASE, FILL OUT THE REGISTRATION FORM

Full Name (required)

Name of Organisation (required)

Position in Organisation (required)

Your Email (required)

Your Phone Number (required)

Do You Have Any Prior “Group” Experience? (required)
Yes No 

Have You Attended a SMART Group Before? (required)
Yes No 

Have You personally been through any recovery program? (required)
Yes No 

p>Workshop you wish to attend? (required)

Questions, Comments or General Enquires about future training

I agree to the terms and conditions? (required)
 yes