<p>HOPE 2011</p><p>Registration Form HOPE : Drug and Alcohol Training for Trainers</p><p>Date: April 8 - May 20 , Fridays, 10 am – 1 pm (except Easter Friday, when it will be on Thursday, April 21)</p><p>Venue: Edmund Rice Centre, North Richmond Street, (corner of North Circular Road), Dublin 1 </p><p>Cost: 150 euros professional and CE scheme (training budget), 20 euros – unemployed, students - please bring proof of employment status</p><p>Please fill this in and post this back with your registration fee, or by return in email</p><p>Name</p><p>Address</p><p>Phone number </p><p>Email</p><p>Emergency Contact</p><p>Date of Birth</p><p>Current Education or Employment</p><p>Why would you like to take this training?</p><p>HOPE, Unit 5 Killarney Court, Buckingham Street Upper, Dublin 1 Telephone: 887-8404, Fax: 887-8402, [email protected]</p><p>1</p>