Gold Coast Masterclass Booking Form

Gold Coast: Microbiome Masterclass Registration Form

Probiotics in practice: Applications across gut health
Masterclass details

Location: Novotel Surfers Paradise

Date: Tuesday 19th August, 2025

Time:
- 6:30pm: Registration
- 7:15-8:15pm Masterclass Dinner
- 8:15pm Networking Drinks
Inclusions: 2-course dinner and sample bag

Cost: Free for healthcare practitioners (Valued at $90 per person)

* Limited seats available
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Clinic name*
Clinic Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What type of healthcare practitioner are you?*
Professional association or AHPRA number*
List name of association & number for non-AHPRA registrants
Dietary requirements*
How did you hear about us?*

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Gold Coast: Microbiome Masterclass Registration Form