Reconnect & Regulate Registration - A Positive Start CIC

Reconnect & Regulate Registration Form

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone

Reconnect & Regulate is an 8 Week In-person Program. Delivered in Hawick on Mon Evenings 6pm-8pm(Required)

Are you available to attend all 8 Sessions

Why This Program?(Required)

Please explain briefly ( 1000 characters or less) why you are interested in enrolling in this program.

Price(Required)

All of our services are built on TRUST. We encourage you to choose the price that best fits your budget while reflecting the value of the support we provide. Suggested Donation per 8 Live Sessions. (Pay-it-forward - £5 - £20) (Sustainer - £25- £45) (Supporter - £50 - £80) (True Value - £100 per session =£800 full program)