Please enter information in the form below to process registration for event QLD NSW Mid Year Conference 2021.

Personal Information

As all future communication and emails will be sent to this address, be sure to check that it is correct.

Accommodation Information

Please list anyone with whom you would like to share a room with. Every effort will be made to put you with at least one of these people. If you need a quiet room, please indicate as well with the reason.

Dietary & Medical Information

If this is a couple or family registration be sure to include who has that restriction
If this is a couple or family registration be sure to include who has that restriction
Write your qualifications/expiry above.

Training Modules

Travel Information

Outreach

Emergency Contact Information

Please give the details of someone we can contact for you (or your spouse/family) in the event of an emergency. The person must be 18 years or older and is not attending conference.
Please tick the box above to accept these terms and conditions.

Payment Information

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