Registration page

Last updated 18 April 2024

Register: 2024 ‘Yagila Wadamba’: Learn to heal

30-31 May 2024, Sydney NSW
10-11 October 2024, Melbourne VIC

Title:

First name:

Surname:

RACGP no:

Contact telephone:

Email:

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

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:

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 the Thursday evening:

Please indicate if you are attending The Indigenous General Practice Trainee Network (IGPTN) workshop from 11-14 October in Melbourne:

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*

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