GP Skills Workshop 2025

GP Emergency Skills Workshop

Saturday 25 October 2025
Name*

First NameLast Name
Name of your GP Clinic/Healthcare Service*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Are you a:*

GPGP TraineeOther
ACCRM or RACGP*

ACCRMRACGPN/A
College Number or N/A*
Are you physically capable of performing CPR?*

YesNo
Do you have any dietary requirements?*
Payment Details are as follows:

General Registration - $300.00

Direct Credit ONLY to:

Bank: Bendigo Bank

Account Name: Bendigo Health Care Group Operating

BSB: 633 000

Account No: 133257501

Reference: EMET-then the first three letters of your surname and your first initial (e.g. Pat Smith would be EMET-SMIP)
Once you have made your payment you mst complete this box with BOTH your bank receipt number and the Reference as per the above (e.g. EMET-SMIP) so that we can match your payment and confirm your registration. You will NOT be able to complete your registration until payment is made.*
Should be Empty:

GP Emergency Skills Workshop