LHAC Forum Registration - Wagga Wagga

We are excited to be hosting the next LHAC Forum in Wagga Wagga on Thursday 11 and Friday 12 September 2025.

To register for the Forum - please complete the form below - indicating your attendance and preferences.

Personal Details

First Name *

Last Name *

LHAC Location (town / hospital):

Your position:

LHAC memberMLHD staff memberMPHN staff memberOther

Position - Other: *

Email Address: *

Phone Number

Please register me for the following: *

LHAC Dinner (Thursday 11 September 2025 - 4.30pm – 8.00pm) LHAC Forum (Friday 12 September 2025 - 8.30am – 3.00pm)

Do you have special dietary requirements *

YesNo

What dietary requirements do you have: *

Do you have any other allergies we need to be aware of?

As your hosts, Wagga LHAC are here to help! Please let us know how we can assist you

Directions for ramp accessAssistance at meal breaks (making a cuppa, carrying plate for you)Other

Please provide details, or request a callback and we will phone you for a confidential chat *

We will book and pay for your accommodation in Wagga Wagga for the evening of Thursday 11 September 2025.

Accommodation - Other *

IF SHARING ROOM: please advise who you will be sharing with

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