Course Leader *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you registering a course? *

Yes

No

Have you or any of your team attended The Recovery Course training? *

Yes

No

Do you have the NEW 2024 course resources? *

Yes

No

Have you run The Recovery Course before? *

Yes

No

Are you currently running the course? *

Yes

No

Have you a planned start date for your course? *

Yes

No

N/A

Please add your proposed start date or the date you started your course below.

MM

DD

YYYY