Stronger me Indigenous Leadership Program Registration Form
Program dates are as follows:

16th-17th July (1xnight)
30th-31th July (1xnight)
13th-14th August (1xnight)
27th-28th August (1xnight)

If you have any questions please reach out to courtenay! 0488 111 819

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Full Name *
Email *
Date of Birth *
Phone number *
Street Address *
Suburb *
Are you Aboriginal or Torres Strait Islander? *
Do you have any Dietary requirements? *
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