Registration Form: Farm First Aid Training - Tambar Springs

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Registration Form: Farm First Aid Training - Tambar Springs - 18 February 2020

PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THE REGISTRATION FORM BELOW:
- This training course is free for primary producers, farm workers and farm contractors.
- Registration in this training course is strictly limited to two people per business.
- A registration form must be completed for EACH individual attendee.
- You must have a government-issued USI number to register in this course. If you do not have a USI number, you can create one now online at www.usi.gov.au/your-usi/create-usi (it should take less than 5 minutes to complete).

If you have read all of the above information, please proceed to complete the registration form below. Upon submission of this registration form, your registration will be complete and a confirmation email will be sent to you containing important course information. Please read the email before attending the course.

Attendee Surname *

Attendee Given Name(s) *

Attendee USI Number ( www.usi.gov.au/your-usi/create-usi ) *

Attendee Age *

Please tick: *

I am a primary producer, farm worker or farm contractor.

Required

Residential Postcode *

Contact Email (a confirmation email will be sent to the address you enter) *

Contact Phone (enter a mobile phone number to receive an SMS reminder one week before the workshop. If you do not have a mobile phone, please enter your home phone number) *

Complimentary morning tea and lunch will be provided at this training course. Please list any special dietary requirements (optional).

Please inform us of any serious medical conditions and/or accessibility requirements, including mobility assistance, hearing and/or visual impairment (optional).

I wish to receive future emails from NALAG NSW about upcoming events, services and training opportunities via email. (Optional)

I give consent for NALAG NSW to record video footage, photographs and sound recordings of me whilst participating in this training course. (This is a registration requirement. If you prefer not to be recorded, please inform the registrar upon arrival at the workshop and we will do our best to exclude you from recordings.)

Required

How did you hear about this event? (please select one or more) *

NALAG email

Facebook

Instagram

Twitter

Radio

Local Newspaper

Television

Poster/Flyer

NALAG website

Internet search (Google, etc)

Word of Mouth

Other:

Required

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