Registration form non-members

Date: Thursday 15 October 2026
Location: RANZCP WA Branch, 1/31 Broadway, Nedlands or you can attend online via MS Teams link that will be provided a few days prior to the event
Program timing:
5pm – 5:50pm AWST - Networking with Dr Kaye
6pm – 7:30pm AWST Presentation & Q & A

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Cancellation - change of mind
As this is a free event, no cancellation refunds apply. If you have registered and cannot attend, please let us know by sending an email to Angie.Padoan@ranzcp.org as soon as possible as seats are limited.

Cancellation - medical
The health and safety of attendees is our highest priority. RANZCP requests that any attendee who is feeling unwell or has cold flu like symptoms, not to attend the event. If, on medical grounds, you are unable to attend the event, please notify us of your cancellation as soon as possible by emailing Angie.Padoan@ranzcp.org as seats are limited.

RANZCP ID

Title

First name

Last name

Email address

Name badge (if attending in person)

Please confirm your name as you wish it to appear on your name badge.

Preferred Title

Preferred First Name

Preferred Last Name

Dietary requirements (if attending in person)

Select all that apply

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A collaboration initiative between RANZCP WA Branch, WA Eating Disorders Outreach & Consultation Service, Richmind WA

Name badge (if attending in person)

Dietary requirements (if attending in person)

Accessibility/mobility requirements

Registration

Thank you