Please fill in this form online to apply for the upcoming Life Matters Workshop When: Friday 31 May to Sunday 2 June 2024 (2 day Workshop) Where: Camp Somerset, Crossdale QLD Email * Full Name * Gender Female Male Other Age 18-34 35-49 50-70 Over 70 Phone Number Address How did you find out about this workshop? * Word of Mouth IofCA Website Social Media Email from IofCA Other Tell us a little about yourself and why you want to do the LM workshop? Please write at least 50 words. * What are your hopes for your future? Please write approx. 50 words * Dietary requirements - do you have any dietary requirements? If so please advise. Allergies - please advise if you have any allergies that we need to be aware of. Disability – do you have a disability that requires any reasonable adjustments for you to participate? Fees The total fee for the workshop is: $500 covers program, accommodation and meals, ** Limited scholarships are available on application. Please advise if you would need more information. Email us. Registration fees Registration fee will be $50, inclusive of the overall price of $500. Please deposit the registration fee to the following account: Initiatives of Change Australia BSB: 083-427 A/C No: 51 509 4958 Please add "LM Rego Fees" and your first and last name in the description. Fee payment - Please specify your requirement (we will send you an invoice for payment prior to the workshop) * Program, meals and accomodation ($500) I am applying/have applied for a scholarship Media Consent Initiatives of Change Australia (IofCA) sometimes posts photos or videos on our website, social media or publications to share about our activities. If in attendance do you consent to IofCA using photos and/or videos of you for this purpose? * Yes No Preview
