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Healthy Sunshine Coast - Participant Registration Form

Join Healthy Sunshine Coast

Complete this one-time Registration Form to join Healthy Sunshine Coast - it's free to join!

By joining you will also receive the regular Healthy Sunshine Coast Newsletter which provides program updates and snippets of health and wellbeing news.

After registering you will then be able to join in the suite of activities on offer - check the Healthy Sunshine Coast website for details. 
 
All of the activities on offer only cost either $10 General Fee or $5 with a Health Care/Pensioners card - you will need to show this card at the first visit for each activity.
 
Please also consider joining the Healthy Sunshine Coast Facebook page as all up-to-date news is posted here - The Healthy Sunshine Coast Movement

Please note, data collected in the Form will not be used for ANY purpose other than to verify you are a Sunshine Coast resident, and to receive communications from Council.

For any further information, please email: healthysc@sunshinecoast.qld.gov.au
1.First Name(Required.)
2.Surname(Required.)
3.Email Address - Please ensure you are accurate(Required.)
4.Repeat Email Address(Required.)
5.Mobile Phone Number (or Home Phone if no Mobile Phone)(Required.)
6.Residential Address(Required.)
7.Suburb(Required.)
8.Postcode(Required.)
9.Gender(Required.)
10.Age Group(Required.)
11.Have you participated in Healthy Sunshine Coast activities previously?(Required.)
12.What are the main benefits you hope to gain from participating in the Healthy Sunshine Coast Program?(Required.)
13.What type of health and wellbeing activities would you like to see offered in your local area? (More than one choice is possible)(Required.)
14.How did you find out about the Healthy Sunshine Coast Program?(Required.)