Nearly There!

You are registering to attend KidsChat Online.

In order for us to provide this program for free to the community, CaPSS asks that parents/carers provide us with their name, date of birth, and suburb of residence.
You can see how this information is used and protected in our privacy policy below.

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* 1. What is your First Name?

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* 2. What is your Last Name?

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* 3. What is your date of birth?

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* 4. What is your suburb of residence?

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* 6. What do you hope to get out of the webinar?

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* 7. Email address or phone number for us to send the webinar link to:

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* 8. Phone number if you would like a reminder on the day:

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* 9. Sign up to CaPSS monthly newsletter and/or weekly resource list

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* 10. I consent to be contacted for TSA research and evaluation

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* 11. I acknowledge that I have read and understood the information outlined below and my consent is provided in place of a signature

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