Skip to content
Toowoomba Young Adults Disability Single’s Picnic Lunch: Registration
Once we have the numbers we'll send out invites for a time and place in the Toowoomba area.
Come along, eat, mingle and meet other singles. 18 – 35(ish)
1.
First Name
2.
Surname Initial
3.
Contact phone number or email
4.
Age
18-24
25-34
35-44
45-54
Other
5.
Gender Identity
Male
Female
Other - Prefer not to provide detail
Other (Provide detail below)
6.
Biological sex
Male (/AMAB)
Female (/AFAB)
Prefer not to say
7.
Dating preference / I am interested in...
Men
Women
Both
Other - Prefer not to provide detail
Other (please specify)
8.
Support person first name and last name initial (Optional)
9.
Support person contact phone number or email (Optional)