Registration page

Last updated 23 April 2024

Register: 2024 ‘Yagila Wadamba’: Learn to heal

30-31 May 2024, Sydney NSW
October 2024, Melbourne VIC (date to be confirmed)

Section A: Delegate information

Title:

First name:

Surname:

RACGP no:

Contact telephone:

Email:

Do you have any dietary requirements? (please specify):

Please be aware that whilst every effort is made to ensure menu items are allergen free, in the case of specific allergies or medical dietary conditions it is recommended that you consume food and beverages at your own discretion and carry an Epi-pen if recommended by your health care providers.

Menu items may still contain traces of allergen ingredients if they are prepared in venues and/or catering facilities that use and process these products as ingredients in other menu items.

Do you have any other special requirements i.e. travel, physical etc. (please specify):

Please confirm that you identify as Aboriginal and/or Torres Strait Islander:

Section B: Course selection and fee

Wherever possible, we aim to accommodate all eligible candidates for this program

Workshop is FREE and includes travel and accommodation, workshop materials, morning tea, lunch and social dinner

Please note: priority is given to candidates sitting the next AKT / KFP

Please indicate when you are planning to enrol in the AKT and/or KFP:

Please select the workshop you would like to attend:

Will you be attending the social dinner on Thursday 30 May evening:

Section C: Declaration

By signing and returning this registration form to the RACGP, I the delegate make the following declarations:

I have read, understood and accept the RACGP Delegate Conditions and Cancellation Policy which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request).
I have read, understood and accept the RACGP Privacy Statement which can be found at www.racgp.org.au/usage/delegate-conditions (or provided on request) and consent to my personal information being dealt with to administer this event.

Signature of Delegate*

Advertising