Register: Death Conversation Parramatta

LGBTQ+ Death Conversation: Parramatta
ACON's LOVE Project is excited to have you attend our LGBTQ+ Death Conversation in Parramatta, supported by the ACON Westies Team.

Date: Saturday 19th September

Time: 11am to 2pm

Location: PHIVE, 5 Parramatta Square, Parramatta NSW 2150

If you have any questions, contact Zoe at zhinton@acon.org.au, 02 9206 2176
About You

Please tell us a bit about yourself to register for this event.
Name

First NameLast Name
Email

Confirmation EmailPlease confirm your email address
Number
e.g., 0292062000
Suburb and Postcode

Street Address

Street Address Line 2

SuburbState

Postcode
Preferred Pronouns

Other
What is your age?
What is you gender?

Other
What is your sexual orientation?

Other
Are you Aboriginal and/or Torres Strait Islander?
Are you Living with HIV?
Are you living with a disability and/or chronic health condition other than HIV?
Do you live alone?
Do you speak a language other than English at home?
If so, please list which other languages you speak.
Do you have any dietary requirements?

Yes
Do you have any access needs?

Yes
Please verify that you are human
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LGBTQ+ Death Conversation: Parramatta