Please note that each adult must register separately.

To register for another adult, fill out the form using their details (using their own email address).  

First name

Last name

Email

Phone

Where do you live? ACT NSW NT QLD SA TAS VIC WA Outside Australia

Country

How long has T1D been in your life? 12 months or less 1-3 years 3-5 years 5+ years I'm a HCP

What's your connection to T1D? I have T1D I have a child with T1D My child and I have T1D I have more than one child with T1D My partner has T1D My sibling has T1D My parent has T1D My grandchild has it My friend has T1D My relative has T1D I'm a health care professional (HCP) My child has T1D and I'm a HCP I have T1D and I'm a HCP

Will another adult (or adults) be attending with you? Yes No

For EACH adult attending, please let us know their FULL NAME and EMAIL ADDRESS. (It must not be the same as yours.)

For each person attending, please let us know their NAME and DIETARY needs (eg, gluten free, vegan, allergies). If none, write N/A.

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