Family Leadership Peer Network
Membership form
Thank you for your interest in the Family Leadership Peer Network.
This peer network is for families with member(s) with disability to connect and resource on how to effect positive change for their families to thrive. We connect once a month for a workshop on a topic which is recorded. There is also an after hours peer network meeting for those who cannot attend the day time session but still want to connect. Please let us know what option suits you best.
Name
First Name
Last Name
Email
example@example.com
Post code
I intend to (please tick all that apply)
Join the online workshop
Watch the recording
Attend the after hours peer network meeting
Do you have any accessibility needs to be able to join us online?
I'm also interested in joining a subgroup focussed on:
Inclusive education
Home
Succession planning
How did you hear about the network?
Purple Orange
Facebook
Email
Another organisation
Other
If you chose organisation or other (please specify below)
We just want to know how our message is reaching families so we can continue
Do you have a family member with disability? This peer network is a space for families and informal supports. If you are a professional, you can contact Chelsean@purpleorange.org.au if you want to connect further.
Yes
No
Am a friend / supporter / ally
Professional
Submit
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