Please find my registration for the workshop being held on 3rd September

Complete below and a confirmation email will be sent to you from Program Manager, Kiara Cannizzaro - Doctors' Health SA & NT

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* 1. Name

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* 2. Gender

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* 3. Current position

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* 4. Place of work:

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* 5. Best contact email:

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* 6. Best contact mobile number:

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* 7. Any specific dietary requirements?

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* 8. List TWO outcomes you would like to gain from the workshop?

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* 9. How did you find out about this workshop?

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