Goori-Bugg Hosts The Worimi and Birrpai Youth Gathering

Goori-Bugg Hosts The Worimi and Birrpai Youth Gathering

Consenting Youth 16 - 25 years old - 1st November 2025 Saltwater Beach NSW Registration Form
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Are you a direct descendant of Charlotte and James Bugg? And if so, which line/child, do you descend from?
Do you identify as Worimi, Birrpai, both or neither?
Indemnity Declaration: The Goori-Bugg Youth Gathering will be using some images and videos from the day for our funding reports, social media pages and feature film documentary. Do you give permission for the Goori-Bugg Gathering Organising Committee to use photos and videos at any time for any lawful purpose?
Signature
Would you like to receive our Goori-Bugg Family periodic newsletter
We hereby thank you for your Registration

Goori-Bugg Gathering Organising Committee - Gloucester NSW
^{Proudly Supported by:}

^{Saltwater Tribal Council, Create NSW, The Healing Foundation, Worimi LALC, Bahtabah LALC, Taree-Purfleet LALC, Forster-Tuncurry LALC, Karuah LALC, Maling Productions,}^{Mirnidyan Gununa Mornington Island Qld}
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