Clone of Post Training Feedback form

Gippsland Regional Roundtable Registration Form

Calling all Residential Aged Care Homes in Gippsland
Name of Aged Care Home*
Your Name*
Email*
Position*
How many people from your organization will be attending the roundtable with you?
We will be holding this roundtable online and in-person; will you be joining? *
We will be monitoring the situation and the cost-of-fuel crisis and might shift to an online modality. We will keep you updated as we get closer to the event.
What are the cultural backgrounds of your current and future residents?
What are the cultural backgrounds of your staff?
Do you have any dietary requirment?
Should be Empty:

Gippsland Regional Roundtable Registration Form