THINKING BIG: Courage to Care Across Australia REGISTRATION: Courage to Care National Conference 2019 DATE: Saturday 9 February - Monday 11 February 2019 VENUE: Courage to Care Victoria, 843A Glen Huntly Road Caulfield COST: Conference participation is free, and includes lunch and refreshments during Conference sessions. Accommodation and all other meals are at your own cost. Conference participants are invited to download the Conference Program outline, which includes recommended accommodation. The full Conference Program will be forwarded with all Conference papers 7 days before Conference commencement. The Conference venue is upstairs on the first floor. We regret there is no elevator or disabled access. OK Question Title * 1. Participant details Full Name Address Address 2 City/Town State Postcode Email Address Mobile phone OK Question Title * 2. Courage to Care state organisation ACT NSW QLD SA TAS VIC WA Other Are you a member of your state's Committee of Management? OK Question Title * 3. Will you be accompanied?Guests will not participate in Conference sessions. To participate, please register separately as a participant. No Yes FULL NAME OF GUEST OK Question Title * 4. Attendance at Saturday evening social gatheringRSVP is essential to attend this event at a private residence. No cost. I will attend the social gathering My guest will also attend the social gathering OK Question Title * 5. Attendance at Conference sessions on Sunday I will attend morning Conference sessions on Sunday I will attend afternoon Conference sessions on Sunday I will require lunch OK Question Title * 6. Attendance at Conference Dinner on Sunday RSVP required for booking purposes. Dinner is at your cost. Please note that restaurant will not be kosher; vegetarian options will be available. I will attend the Conference Dinner on Sunday night My guest will also attend the Conference Dinner on Sunday night OK Question Title * 7. Attendance at Conference sessions on MondayMonday sessions are structured for Committee of Management (COM) members. If you would like to attend sessions on Monday, please be in contact with COM members in your state to discuss. I will attend all Conference sessions on Monday I will require lunch on Monday OK Question Title * 8. Dietary requirements for Conference mealsMorning tea and a light lunch will be served to all conference delegates. Catering will be kosher-style and vegetarian. If you have specific dietary requirements, please indicate below. No additional requirements Kosher Vegan Gluten-free Diabetic Allergy (please specify) OK DONE