Youth Conference NT 2025 - Workshop #3: Public Speaking

Youth Conference NT 2025 - Workshop #3: Public Speaking

We are coming to Katherine, NT, to deliver the next public speaking workshop. Thank you for your interest in being part of the Youth Conference NT Public Speaking Workshop. All young people from the Top End and Big Rivers Region are welcome, aged 15 years to 25 years. Please complete this form to confirm your participation.
Full Name*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
In-PersonOnline
If in-person, any dietary requirements?
Email*

Confirmation Emailexample@example.com
Phone Number*

Area CodePhone Number
Top End RegionBig Rivers RegionOther
YesNo
Consent & Acknowledgement

By registering for this workshop, you:
- Give permission for photos/videos to be taken during the event and used for promotional purposes.
- Agree to receive an email with the workshop link (if attending online) or event details (if attending in person).
- Acknowledge that participation is voluntary and that you will engage in a respectful and supportive manner.
  
  If you have any concerns, please reach out before the event.
Signature:*
Parent/Guardian Signature (if under 18):
Should be Empty: