Strengthening Families, Building Communities, Developing Minds

Registration – PYD Workshop Series

TCHD PYD101-Trini-June-2

Positive Youth Development Workshop Series – Trinidad, Workshop 2

Programme Information

Dates: 23rd - 24th June, 2015

Venue: Institute of International Relations, University of the West Indies, St Augustine

Time: 8:00 a.m. – 4:00 p.m. (Each Day)

Personal Information

First Name:

Surname:

Job Position Title:

Mailing Address:

Email:

Gender: [radio* gender "Male" "Female"]

Date of Birth:


Telephone Numbers

Work:
Ext:

Home:

Mobile:

Facsimile: N/A


Company Information

Company:

Mailing Address:

Contact Person:


Personal Considerations
(Dietary:  Chicken Fish Vegetarian) Physical Other


Financial Information

Please indicate how payment will be settled for this programme (The person/company indicated must sign in the space provided). Seats for this workshop are very limited and require a minimum down payment of 50% on or before MAY 25th 2015 in order to secure your booking.

Preferred Payment

  • Please be advised the cost per workshop is $3,500.00 TTD or $550.00 USD.
  • Payments may be made Via Cheque, LINX, Direct Depositor or Cash.
  • Direct deposit are to be made to account 9408 0374 1601 for Trinidad and Tobago Dollars payments at any Republic Bank branch.
  • All payments (Cheque, LINX, or Cash) or proof of payments (copy of the direct deposit slip) must be scanned and emailed to tchdtraining@livelifewelltt.org or thecentre@livelifewelltt.org or by fax: 1 (868) 623 - 6529

Cancellation Policy

  • Persons cancelling before MAY 05TH 2015 - 100% REFUND
  • Persons cancelling between – MAY 05TH 2015 - MAY 12TH 2015 - 50% REFUND
  • Persons cancelling after MAY 13TH 2015 - NO REFUND
  • Refunds will be processed within FIFTEEN (15) working days of receipt of written cancellation notice


Declaration

Authorized Personnel

Date:

Applicant’s Signature:


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For additional details, please contact: Marketing Department at: 1 (868) 224 - 3581/1(868) 221-9273/1 (868) 374-9996/1(868) 374-9814