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Registration for
Circles of Support
An in-person workshop about creating A Circle of Support for a person with disability.
This face-to-face workshop will be held in
Canberra
from 9:30 am to 4:00 pm on Tuesday, 26 November 2024.
A little about you
Your Name
*
First name
Last name
Your Primary Email Address
*
Your Address
*
Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Phone
*
Are you of Aboriginal or Torres Strait Islander origin?
*
No
Yes
Prefer not to say
Are you from a culturally or linguistically diverse background?
*
No
Yes
Prefer not to say
Please indicate if you are:
A person with disability
*
No
Yes
A family member of a person with disability
*
No
Yes
Do you or your family member have NDIS funding?
*
No
Yes
Attending in a professional capacity
*
No
Yes - Direct support staff
Yes - Disability Service Provider - not direct support
Yes - Support Coordinator
Yes - Educator
Yes - Other
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A little about the person with disability
It can be helpful for us to know a little about your family member with disability. We invite you to provide some information below, however this information is not compulsory.
Your family member's first name
Your family member's last name
Your family member's date of birth
If you wish to provide details for other family members with disability please do so here.
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How did you hear about this workshop?
Please tell us how you heard about this conference. For example, Imagine More's newsletter or website, your school newsletter or inclusion team, from a friend or colleague etc
*
Imagine More newsletter
Imagine More email
CDNet
School newsletter
Facebook
Word of mouth
Other
Please provide any further information about how you heard about this event
What do you want to learn in this workshop?
If you have specific questions, please ask them here, and we'll do our best to cover them in the workshop.
We welcome all questions, large and small.
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Confirm your registration
Please check the box below to confirm your registration for this event:
Circles of Support
*
Your access and dietary needs
Please provide any access requirements to enable your full participation
Please provide any dietary requirements
Subscribe to receive updates from Imagine More
We provide regular updates about events and other happenings at Imagine More. Please let us know if you wish to receive newsletters from Imagine More.
If you believe you are already subscribed and wish to remain so please select 'Please send me newsletters'.
*
Please send me newsletters/already receiving newsletters
Please DO NOT send me newsletters
Thank you!
After you submit this form you will receive a confirmation email with further information.
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Please check the highlighted fields
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