Adelaide Masterclass Booking Form

The Gut-Brain Axis and Probiotic Applications

Event date: Thursday 27th August 2026

Time: Please note there has been a slight schedule update. Please arrive at 7pm for registration.

Schedule
• Registration: 7pm
• Dinner served: 7:30pm
• Dinner Masterclass: 7:45pm - 8:45pm
(including dessert & intermission)
• Q&A, drinks and networking: 8:45pm-9:15pm

Location: Adelaide Pavillion - Corner South Terrace &, Peacock Rd, Adelaide SA 5000

Parking: 80 car parks available for Adelaide pavilion guests which are subject to availability.

*Attendance is accredited for 1 CPD point (2 with quiz completion via AJP)

*Please note this is a booking form for one attendee

Question Title

* 1. Provide your full name

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* 2. What is your email address?

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* 3. What is your contact phone number for this event?

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* 4. What type of healthcare professional are you?

Dietitian

Medical practitioner

Pharmacist

Naturopath

Nutritionist

Medical/health student

Other (please list below)

Adelaide Masterclass Booking Form

The Gut-Brain Axis and Probiotic Applications

Question Title

* 1. Provide your full name

Question Title

* 2. What is your email address?

Question Title

* 3. What is your contact phone number for this event?

Question Title

* 4. What type of healthcare professional are you?

Question Title

* 5. If occupation above is marked as 'other' please write occupation below.

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* 6. Please provide your professional association or AHPRA number.

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* 7. Please list any dietary requirements you have