2024 Pre-Training Registration Form - Broken Hill

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Training Registration Form

Complete the below pre-training registration form in order to finalise your enrolment.

Tip: If you run out of time, use the Save & Continue Later button at the bottom of the form to continue later.

Your Details

Full Name*
Make sure this is 100% accurate and the same email you purchased your training registration with.
Enter your best contact number.
Date of Birth*
Which city/suburb are you traveling from?
What is the postcode of this city/suburb?
Provide details of dietary requirements and food allergies.
Provide details of all Medical Conditions, including medication, dosages and triggers.
What is your occupation?
What organisation do you belong to / work for?
Need to let us know of anything else?

Emergency Contact

Emergency Contact Full Name*
This person will be contacted in case of an emergency.
Enter the emergency contact's best contact number.

Accomodation

Your course costs include dormitory style accomodation at the venue. Each bed has a pillow top mattress, fitted sheet and pillow - please bring your own sleeping bag and blankets. The building is fully air conditioned. You are also welcome to sleep in your car/van if you prefer. Please let us know your choice and note that for the duration of the training, you will not be able to leave the site.

Newsletter

Would you like to keep up-to-date on everything new? We'll send new and upcoming events straight to your inbox.

Terms & Conditions

This field is for validation purposes and should be left unchanged.