DFVSN registration form

Domestic and Family Violence Support Network for emergency service workers

Please note that all information provided in this form will be stored by ESF for internal use only, no information will be shared. If you have any questions or concerns about the program, please see our Frequently Asked Questions on the previous page.

Name (If it makes you feel more comfortable, you are welcome to use an alias name.) For the reassurance of other participants, your camera must remain on throughout the session.(Required)
Email address: (which is safe for us to reach you) to send online meeting invite and information:(Required)
What sessions would you like to register for: (you may select more than one, each session will have a different focus. Places are limited to 12 people per session):(Required)
My interest in the DFVSN is in relation to: