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Djedi Training Registration

9th February - 7th March, 2021

Arcoora Arts and Ecology Training Ground

Arcoora collects certain personal information from participants to facilitate safe and effective service provision. You can read about the ways we ensure the privacy of individuals in our Code of Conduct document here.

Personal Details

Name *

First Name

Last Name

Mobile Number *

Email *

Date of Birth

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Logistics

How are you getting here? *

Driving

Need a lift

Can drive but open to getting a lift

Need a pick up from Gold Coast Airport

Where are you driving from / where do you need a lift from? *

If driving, what type of vehicle will you be using?

2WD

4WD

AWD

If driving, will you be able to offer a lift to other participants nearby to your place of departure or en route?

Not able to

1 Seat available

2 Seats available

3 Seats available

If you are unable to attend the full 4 week training or have existing commitments that would require you to leave site at any stage please explain why and when you would need to leave:

If you are attending with a partner please provide their name below:

We will do our best to accomodate you in a twin share room

Emergency Contact and Medical Information

Next of kin or person to be notified in an emergency: *

First Name

Last Name

Relation to you: *

Primary contact number: *

Alternative contact number:

Please list any medical conditions we should be aware of:

Are you currently taking any medication?

Please provide details

Have you ever been prescribed psychiatric medication? *

Yes

Do you have any allergies?

Please provide details

How is your sleep?

Let us know if you are a light/heavy sleeper of if you snore so we can take that into account when allocating beds

Do you have any dietary restrictions? *

None

Vegan

Vegetarian

Gluten Free

Will you be staying on to attend the Men's Nature Connection Camp that follows Djedi Training starting March 11th? *

Yes, I'll be attending

No, won't be attending

Not sure yet

Thanks for registering, we'll be in touch again soon with directions/transport arrangements .

Anything else you'd like to let us know before you arrive?

Thank you!

We'd love to keep you in the loop!

Email Address

We respect your privacy.

Thank you!

Arcoora operates on the lands of the Gulli-Bul people and we wish to acknowledge them as Traditional Custodians. We would also like to pay our respects to their Elders, past, present and emerging.

We recognise that sovereignty over these lands was never ceded, no treaty was signed and that the struggle for lands and rights of Indigenous peoples around Australia is ongoing.

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