Registration - Generic

NeoSTARS - Perth Children's Hospital

Contact Details

Title

First Name

Last Name

Organisation

Position

Email Address

Verify Email Address

Mobile

Address Details

Address

Suburb

State

Postcode

Accreditation Number/s

RACGP Number

ACRRM Number

AHPRA Number

RANZCOG Number

Dietary Requirements

Please specify

Other

Do you identify as Aboriginal or Torres Strait Islander?

Aboriginal

Both, Aboriginal and Torres Strait Islander

Do not wish to specify

Neither Aboriginal nor Torres Strait Islander

Torres Strait Islander

Do you identify as Culturally or Linguistically Diverse?

Do not wish to specify

Yes

Are you solely employed by CAHS as Medical or Nursing and Midwifery Staff?

Yes

You may be eligible for travel support to attend this workshop.

If required please tick the below box.

I would like travel support to attend

Registrations

Thursday 3 0ctober

CAHS Medical Staff (Thursday Preference) FULL

280.00

CAHS Nursing and Midwifery Staff (Thursday Preference) FULL

160.00

Friday 4 October

CAHS Medical Staff (Friday Preference) FULL

280.00

CAHS Nursing and Midwifery Staff (Friday Preference) FULL

160.00

Either Day - we will assign a suitable day

CAHS Medical Staff (No Preference) FULL

280.00

CAHS Nursing and Midwifery Staff (No Preference) FULL

160.00

Registration Type

Thursday 3 0ctober

GPO - NeoSTARS (Thursday Preference) FULL

350.00

General Practitioner - NeoSTARS (Thursday Preference) FULL

350.00

Medical Practitioner - NeoSTARS (Thursday Preference) FULL

350.00

Midwife - NeoSTARS (Thursday Preference) FULL

200.00

Nurse - NeoSTARS (Thursday Preference) FULL

200.00

Friday 4 October

GPO - NeoSTARS (Friday Preference) FULL

350.00

General Practitioner - NeoSTARS (Friday Preference) FULL

350.00

Medical Practitioner - NeoSTARS (Friday Preference) FULL

350.00

Midwife - NeoSTARS (Friday Preference) FULL

200.00

Nurse - NeoSTARS (Friday Preference) FULL

200.00

Either Day - we will assign a suitable day

GPO - NeoSTARS (No Preference) FULL

350.00

General Practitioner - NeoSTARS (No Preference) FULL

350.00

Medical Practitioner - NeoSTARS (No Preference) FULL

350.00

Midwife - NeoSTARS (No Preference) FULL

200.00

Nurse - NeoSTARS (No Preference) FULL

200.00

Summary

Terms and Conditions

I Agree.

Thank you for your registration

Please check your email for confirmation. All confirmed participants will receive written confirmation via email of their place in this workshop approximately 4-6 weeks prior to the workshop. Information and materials will be posted once your place has been confirmed.

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Registration - Generic

Terms and Conditions

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