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ABOUT US
ABOUT US
OUR BOARD
OUR STAFF
DONATIONS
PROGRAMS
KIRRUP PLAY GROUP
WOMEN’S GROUP
MEN’S GROUP
YOUTH GROUP
COOKING WORKSHOP
COMMUNITY GARDEN PROJECT
EXCURSIONS
FESTIVAL AND EVENTS
FACILITATE A PROGRAM IN 2022
OUR ELDERS | MY STORY
GALLERY
PARTNERSHIPS
CATERING
NEWS
CONTACT
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NEWS
ABOUT US
OUR BOARD
OUR STAFF
DONATIONS
PROGRAMS
WOMEN’S GROUP
MEN’S GROUP
YOUTH GROUP
COOKING WORKSHOP
COMMUNITY GARDEN PROJECT
KIRRUP PLAY GROUP
FESTIVAL AND EVENTS
EXCURSIONS
FACILITATE A PROGRAM IN 2022
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Workshop/ Group Registration Form
Workshop/ Group Registration Form
admin
2021-07-15T16:01:16+10:00
Nairm Marr Djambana
Workshop/ Group Registration Form
Please fill in the form and submit – we will reply and confirm registration shortly.
Please enable JavaScript in your browser to complete this form.
Group / Workshop you wish to register for: [Please check our Facebook page for upcoming Group/Workshops and dates]
*
Workshop/Group Date
*
Your Name
*
First
Last
Email
*
Home phone number
Mobile number
Date of birth
*
Address
*
Suburb
*
Postcode
*
Name of Emergency contact
*
First
Last
Emergency phone number
*
Relationship to you
*
Do you have any allergies? Please list (for Catering Purposes)
*
Do you agree to be photographed and recorded during the workshops / Groups?
*
Yes
No
Are you a Member of Nairm Marr Djambana?
*
Yes
No
Do you have access to Internet / IT equipment?
*
Yes
No
When engaging with Nairm Marr Djambana what areas are you interested in participating:
Art Workshops
Cooking Workshop
Weaving Workshops
Craft Workshop
Yarning Circles
Music /Traditional or Modern
Cultural Workshop
Exercising Groups
Garden Groups
Life Skills Workshops
Language Workshop
Dancing Groups
Family Groups Activities ex BBQ
Bush Tucker
Computer Courses
Sporting Groups
Other
Other interests / If sporting groups ticked above please specify which sports you are interested in
Once completed above fields please click the submit button below.
Submit
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