Women's Resilience Centre 

Term 4 - 2025

Program Registration Form

Please complete this form to register for a WRC Program

We collect details like your postcode, birth year, and gender to tailor support, and meet funding requirements. This helps us keep programs free and accessible. Your information is stored securely and only shared in ways that remove names and contact details. Some questions are required, but others you are free to skip if anything doesn’t feel right. We respect your privacy and your choice.
Country of birth
Language spoken at home
Cultural background
Year of birth
Gender identified as





If other, please specify
Are you of Aboriginal or Torres Strait Islander origin?




Do you consent to receiving text message reminders about your program participation?


Our programs are designed to support women who are in a post crisis, and stable environment. Does this describe your current situation? 



If your answer is no or unsure, could you please share more details if you feel comfortable doing so? This helps us understand how to best support you, or explore other options together.
Our programs are designed for women who are in a safe environment. Does this describe your current situation?



If your answer is no or unsure, could you please share more details if you feel comfortable doing so? This helps us to understand how to best support you, or explore other options together.
Are you currently experiencing post separation abuse / coercive control?



If yes or unsure, please provide details
Do you have an ADVO in place?


Have you had an ADVO in the past?


If yes, how long ago was this?
Who is supporting you at the moment?
Further Support Options
If you would like to meet with our Client Care Managers to talk through your current situation and explore support options, please book in a meeting, either in person, or online, via this link: Calendly - Client Care: Annie/Corona (day dependent)
Accessibility
Do you have any accessibility requirements that we should know about, or are there any accommodations that we can make to help you fully participate in our programs?
Please select one or more of the following programs.
After we have received your registration form, we will reach out to you with more information.
We’ll do our best to place you in your preferred course. If a program is full, or not the right fit at this time, we can explore alternative options together.
Caring Conversations Online
Duration: 5 weeks
Dates: Tuesdays, 28th October- 25th November 2025
Time: 12.00pm-2.00pm


Strength After Divorce, Separation or Loss Online
Duration:
5 weeks
Dates: Tuesdays, 4th November - 2nd December 2025
Time: 6.30pm-8.30pm


Parent Support: Reclaiming Strength Within Families, Online
Duration: 6
weeks
Dates
: Thursdays, 30th October - 4th December 2025
Time: 6.30pm-8.30pm


Managing Money Online
Duration: 6 weeks
Dates: Thursdays, 23rd October - 27th November 2025
Time: 12.00pm - 1.30pm


Empowering Employment Online
Duration:
6 weeks
Dates:
Mondays, 20th October- 24th November 2025
Time: 12:00pm - 1:30pm


Yoga In Person
Location:
Mona Vale NSW
Dates:
Every Monday (except public holidays)
Time: 5.00pm-6.30pm


Your Program Goals
Our aim is to make our sessions as relevant as possible and help you address real needs and challenges. The questions below are optional to complete, but they will assist us in adapting our session content. 
What would you like to gain from this program?
Are you facing any challenges today we could help you learn to address in our session?
Have you done any previous courses or study on this topic?
Your background
Please share some details about your background / current circumstances in relation to this program (i.e how is this program relevant to you?) 

How did you hear about us and our programs?






Other - Please specify
Would you like to be added to our mailing list, to be notified about future programs?
Please select YES or No (you can opt out at any time)
Indemnification Waiver
Please read the attached indemnity waiver form.://docs.google.com/forms/d/e/1FAIpQLSchxJDMbS2yUy4ZDs1AoIWYA5YqudzeFk1NgCOC9vs1VGikyw/viewform





WOMEN'S RESILIENCE CENTRE LIMITED
Suite 1, 1761 Pittwater Road, Mona Vale NSW 2103