Women's Resilience Centre 
Term 4 - 2026
Program Registration Form
Please complete this form to register for a WRC Program

Our programs are for women who are NOT in a dv relationship.

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
Languages spoken at home (please list all)
Cultural background
Year of birth
Gender identified as





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




Do you have the care of children?


If your answer is yes, are they:




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


Our programs are designed to support women who are not in crisis, and are in a 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 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 in an abusive relationship?



If your answer is 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.
Have you ever been hospitalised, or attended an emergency department for a mental health condition?


If yes, how long ago was this?



Are you currently undergoing treatment for acute mental health or drug/alcohol addictions?


Are you currently experiencing post separation abuse / coercive control?



If yes or unsure, please provide brief details (e.g. "child support problems")
Do you have a protection order in place? (e.g. ADVO, FVO, DVO)


Have you had a protection order in the past?


If yes, how long ago was this?

Who is supporting you at the moment?

Please list professional health services, community services and family or friends.

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. You can call us on 1300 895 991 or click on this link: https://outlook.office.com/book/TheWomensResilienceCentreCopy@wresilience.org.au/?ismsaljsauthenabled

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, 20th October - 17th November 2026
Time: 12.00pm-2.00pm (AEDT)


Making Sense of Your Nervous System and Emotions, Online
Duration: 6 weeks
Dates: Thursdays, 22nd October - 26th November 2026
Time: 12.00pm-2.000pm (AEDT)


Healthy Relationships: Making Sense of How to Start Again, Online
Duration: 6 weeks
Dates: Thursdays, 22nd October - 26th November 2026
Time: 6.00pm-8.00pm (AEDT)


Building Tech Safety, Online
Duration: 5 weeks
Dates: Wednesdays, 14th October - 11th November 2026
Time: 10.00am-11.00pm (AEDT) (12.00pm finish for final session)


Empowering Employment, Online
Duration: 6 weeks (plus optional add-on support)
Dates: Mondays, 26th October - 30th November 2026
Time: 12:00pm - 1:30pm (AEST)


Yoga, In Person, Mona Vale NSW

Dates: Mondays during school term

Time: 5.00pm-6.15pm (AEDT)



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 concerns that relate to this course?
Have you done any previous courses or study on this topic?
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