Skinny Jump Local Partner: Registration of Interest
Please supply the following information so that we can get in touch with you. We will also use it to prepare a simple partner agreement that outlines partner responsibilities.

Note: when you complete the form you will be automatically emailed a copy of your responses.
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Email *
About your organisation
Organisation contact *
Who we should contact to discuss this Registration of Interest
Organisation *
Address1 *
Street address
Address2
Suburb
City *
City or Region
Postcode *
Phone *
Training Venue details
The following details would be helpful (if different from Organisation above) and will used for sending materials and for listing venues on our systems.
Training Venue
Training Venue name
Training Address1
Training venue street address.
Training Address2
Training venue suburb.
Training City
Training Postcode
Venue contact firstname
Training venue contact person first name.
Venue contact lastname
Training venue contact person last name.
Venue contact email
Training venue contact email.
Venue contact phone
Training venue contact phone.
A copy of your responses will be emailed to the address you provided.
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