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Peninsula Dispute Resolution Center Serving Clallam & Jefferson Counties Since 1992
Peninsula Dispute Resolution Center
Serving Clallam & Jefferson Counties Since 1992
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Peninsula College Pirate Peacekeepers Mediation Referral Program
Conflict Crushers: Peer Mediation Program at Stevens Middle School
Voluntary Law Enforcement Program
Community Housing Stability Program
Online Mediation Service
Mediation
Training Services
Conflict Coaching Services
Youth Services
Group Facilitation
Programs
Peninsula College Pirate Peacekeepers Mediation Referral Program
Voluntary Law Enforcement Program
Community Housing Stability Program
Volunteer
Contact Us
Training Scholarship
Fee Schedule
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Home
About Us
Our Board Members
Our Staff
Services
Peninsula College Pirate Peacekeepers Mediation Referral Program
Conflict Crushers: Peer Mediation Program at Stevens Middle School
Voluntary Law Enforcement Program
Community Housing Stability Program
Online Mediation Service
Mediation
Training Services
Conflict Coaching Services
Youth Services
Group Facilitation
Programs
Peninsula College Pirate Peacekeepers Mediation Referral Program
Voluntary Law Enforcement Program
Community Housing Stability Program
Volunteer
Contact Us
Training Scholarship
Fee Schedule
Registration Form for Restorative Justice Class
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Registration Form for Restorative Justice…
Name
*
First
Last
Referral Date
*
MM slash DD slash YYYY
Referred By:
*
Diversion
Probation
Probation Officer:
Restorative Justice is an educational process that offers youth an exercise in skill building and maximizing benefits in understanding responsibility and accountability for their actions in the juvenile justice system.
You are responsible for making arrangements to register, pay, and participate in this
mandated class. Cost for the class is $30.00, you may pay by check, money order, or cash; please make checks payable to PDRC.
Call Peninsula Dispute Resolution Center (PDRC) at
360.452.8024
about class offerings.
Complete this registration form.
Mail or drop off
Form and Payment
to the PDRC office at least one week before class.
Mailing address: PO Box 1034, Port Angeles WA 98362
Office Location: 319 S. Peabody St., Port Angeles WA 98362
Hours: M - Th 10am - 3pm
Arrive to class at least 10 minutes before class starts.
PDRC will notify Juvenile Services of completion of class.
Client Signature
*
Max. file size: 256 MB.
Date
*
MM slash DD slash YYYY
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Failure to submit form and pay class fee at least one week before the class date will disqualify you from the class and you will have to signup for another class session at a later date.
If you fail to attend the class you have registered for, there will be a $10.00 No Show Fee that must be paid before you will be allowed to attend a different class.
*
My check is enclosed. Make check payable to PDRC, and paid two weeks prior to scheduled event.
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