TDC Registration

To register for TDC, please print off the registration form needed and fax it to 475-7553 or mail it to us at:
Bergen and Associates Counselling
105-1483 Pembina Highway,
Winnipeg, MB R3T 2C6
 
We have forms available for:

General Interest Registration
Court Mandated Registration
Employer Mandated/Encouraged Registration


To inquire further or to register via email, please complete the below information, and we will get back to you within one business day:

TDC Information

First Name
Last Name
Email Address
Daytime Phone
Evening Phone
Mobile Phone
Preferred Method of Contact	- SELECT - Phone Email
Comments
Please send a copy of this form to my email address

Payment:

Registration is not considered confirmed until payment has been received.  Payment can be provided to us via Visa or Mastercard, Debit, cash or cheque. To pay the fee for the TDC course online, please click on the link below:

Type of Registration

Early Bird Registration $175.00 Regular Registraton $200.00