Application for Subsidy Fund for Annual Conference 2025

This fund is open to all. The fund will be split equitably to all applicants, regardless of the ticket they seek to buy. As this fund is open to donations currently, the fund can not currently be specified. The ticket will need to be processed manually through admin@therapeuticcommunities.org so the appropriate discount can be made.
1.Name
2.Email Address
3.Please select as many that apply to you
4.Do you agree the information you have provided is honest and true
5.Is there any other information that you think it would be helpful to share
6.I will use the subsidy fund on (please tick as many as apply to you)