Caring for the Carers Registration
Register as an autism carer and choose your session(s) for confirmation and reminders. Sponsored by Fairfield City Council
Which session(s) are you registering for? (You can choose more than one).
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Walk & Talk 1 - Friday 28 August
Walk & Talk 2 - Friday 11 September
Nutrition Workshop - Friday 30 October
Mindset & Movement Workshop - Friday 27 November
First Name
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Last Name
*
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Your Suburb
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Are you a carer?
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Yes
No
Relationship to the person you care for
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Please Select
Parent
Grandparent
Sibling
Other
Are you bringing any children with you? If so, how many?
Child's or children's age
Any dietary requirements?
Do you have any accessibility needs we should know about?
How did you hear about this program?
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Can we contact you about this program and future carer programs, events and support opportunities?
Yes, I agree to be contacted
No, please only contact me about this registration.
During this event, photos and/or videos may be taken for use by Help You Cope Ltd for promotional and community awareness purposes, including our website, social media, newsletters and promotional materials.
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Yes, I consent to photos and/or videos of me being taken and used by Help You Cope Ltd for promotional and community awareness purposes.
No, I do not consent to being photographed or filmed.
Register
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