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INDIVIDUAL REGISTRATION
Note: You are only registering one person in the section. If you would like to register more than one person please use the Group Registration form.
*
Indicates required field
Name
*
First
Last
Email
*
Phone (Optional)
*
Organisation (If applicable)
*
Are you a
*
Young person
Teacher
Parent
Youth worker
Healthcare professional
Volunteer/Facilitator
Other
What day will you be attending
*
Thursday 9th June
Friday 10th June
Both days (applicable only if you are a Volunteer)
Do you require:
Transport
*
Yes
No
Personal care facilities
*
Yes
No
Auslan interpreter services
*
Yes
No
Vision impairment interpreter services
*
Yes
No
Other (please describe)
*
PASH Conference Support staff will be in touch with you to discuss any needs you have identified.
You will receive a confirmation email of your registration.
Submit