Registration Form

To receive your copy of PANDA – Perinatal Anxiety & Depression Australia Guide to Groups (3rd Edition) please enter your details below. Your guide will be sent via email as a PDF within 24 hours. If you have any issues please contact PANDA on 03 9926 9090 or email info@panda.org.au.

Registration Details

Salutation

First Name

Last Name

State

Postal Code

Mobile

Work Phone

Current Role

Organisation (if applicable)

PANDA is keen to understand the needs of group facilitators across Australia to ensure our facilitator training and ongoing support remains relevant. While previous experience in group facilitation is not required to access PANDA – Perinatal Anxiety & Depression Australia Guide to Groups (3rd Edition), we would appreciate you sharing your current level of involvement.

What is your involvement in group programs?

I currently run a support group/supported playgroupI am planning to run a support group/supported playgroup

Privacy

Are you happy to be contacted by PANDA's Supported Playgroups Training Coordinator?

YesNo

PANDA collects personal information in order to administer our programs. Personal information is also collected to satisfy occupation health and safety obligations, government reporting purposes and insurance requirements. This information will not be shared with anyone outside the organisation without your consent.

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