SafeTALK by Diverse Voices

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* 1. Please provide your full name

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* 2. Are you representing an Organisation, if yes, please provide details

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* 3. What is your best contact number?

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* 4. At what email address would you like to be contacted?

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* 5. What are your pronouns?

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* 6. Which session will you be attending

6th February 2024, Session A 9:00am to 12:30pm, please arrive at 8:45am-
Location -Micah Training Room, 10 Thomas Street, West End

6th February 2024, Session B 1:30pm to 5pm, arrive at 1:15pm
Location -Micah Training Room, 10 Thomas Street, West End

7th February 2024 5:00pm to 9pm, arrive at 4:45pm
Location -Micah Training Room, 10 Thomas Street, West End

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* 7. Do you have any dietary requirements? Please provide details below.