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Rainbow Community Fire and Resilience Program PARTICIPANT Expression of Interest Form
Please book your spot for the 1-day program. Choose from
Tuesday June 20th OR Wednesday June 21st,
2023 at James Meehan Reserve, Dee Why.
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Participant First Name
*
Your answer
Participant Last Name
*
Your answer
What are your pronouns?
They/Them
She/Her
He/Him
Other
Other:
Clear selection
How do you identify?
As a member of the LGBTIQA+ community
As an Ally to the LGBTIQA+ community
I am still working it out
Other:
Clear selection
Which day would you like to attend?
Tuesday June 20th
Wednesday June 21st
I can attend on either day
Other:
Clear selection
What is your date of birth?
Your answer
Participant Phone Number
*
Your answer
Participant Email Address
*
Your answer
Parent / Carer / Teacher Email address
*
Your answer
Name of school you are attending
*
Your answer
How did you hear about us?
Social Media
Word of Mouth
Via School
Family Member (as member of emergency services)
Other:
Clear selection
Thank you for signing up. We will send you joining instructions by June 5.
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