To apply to be selected to participate in Critical Light, please complete the following questions no later than 7 July 2022.
Please note you must answer all questions in order to submit your application.

Question Title

* 1. Name

Question Title

* 2. Residential address

Address

City/Town

State/Province

ZIP/Postal Code

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* 3. Phone number

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* 4. Email

Question Title

* 5. Please confirm your availability to participate in the program at the following times:

Friday 26 August, 5pm - 9pm, Cotton Tree

Saturday 27 August, 10am – 1pm, Tanawha and Sippy Downs

Sunday 28 August, 3pm – 5.30pm, Cotton Tree

Tuesday 30 August, 5.30pm – 8pm, Cotton Tree

Friday 2 September, 6pm - 9pm, Cotton Tree

Saturday 3 September, 1pm – 7pm, Nambour and Kawana

Sunday 4 September, 5am – 7.30am, Coolum

To apply to be selected to participate in Critical Light, please complete the following questions no later than 7 July 2022.
Please note you must answer all questions in order to submit your application.

Question Title

* 1. Name

Question Title

* 2. Residential address

Question Title

* 3. Phone number

Question Title

* 4. Email

Question Title

* 5. Please confirm your availability to participate in the program at the following times:

Question Title

* 6. Describe your practice (50 words)

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* 7. How do you see this program developing your practice? (50 words)

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* 8. Please provide your bio (150 words)

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* 9. What is it about Critical Light that most appeals to you? (50 words)

Question Title

To apply to be selected to participate in Critical Light, please complete the following questions no later than 7 July 2022. Please note you must answer all questions in order to submit your application.

Question Title

* 1. Name

Question Title

* 2. Residential address

Question Title

* 3. Phone number

Question Title

* 4. Email

Question Title

* 5. Please confirm your availability to participate in the program at the following times:

Question Title

* 6. Describe your practice (50 words)

Question Title

* 7. How do you see this program developing your practice? (50 words)

Question Title

* 8. Please provide your bio (150 words)

Question Title

* 9. What is it about Critical Light that most appeals to you? (50 words)

Question Title

To apply to be selected to participate in Critical Light, please complete the following questions no later than 7 July 2022.
Please note you must answer all questions in order to submit your application.