FAMILY CONNECTIONS™ REGISTRATION FORM
Family Connections™ programs are available across Australia for those who are living with and/or caring for a person with Borderline Personality Disorder.

To register to go on to our waitlist for a program, please fill out this form. 
Please note that this form is intended only for family members and carers of individuals with BPD. 
Please enter your information
What is your relationship to the individual with BPD?
eg 1: You are their 'Adult Child'  || eg 2: You are their 'Parent' 
What is the Age of PWBPD?
What is your current situation?