Please complete the questions below.

Please note that all information will be kept private and confidential.

Personal Details

Name

First Name

Last Name

Are you under the care of a medical professional for a current condition?

Yes

If yes, please explain.

Are you currently taking any medications?

Yes

If Yes, please list medication and condition

List any allergies (including to medications)?

Do you have specific dietary requirements? NB: We will be able to cater for gluten free, vegetarian and vegan

How did you find out about this event?

How will you be arriving? Do you need a pick-up from Newcastle airport or a train station in Newcastle? Can you offer a pick-up from Sydney or Newcastle?

Please provide an emergency contact name and number

Tracking & Awareness - Registration