If you have been ordered by the courts to attend the MARC / PAR Program, please fill out our MARC/PAR Referral form.

Registration is to be completed within 48 hours of your court order.

"*" indicates required fields

Personal Details

Date of Birth*

Contact Information

Current Address*
Date you were court ordered into the program*
Were charges laid by the OPP or WPS?*
Do you have children under the age of 16 years?*

Victim or Partner Information

Date of Birth*

Description of Incident

Max. file size: 10 MB.
Consent to Release Information – Family Violence Counselling Program*
Consent to Release Information – Crown Attorney’s Office*
Consent to Release Information – Court Office*