ILCNSW Assistive Technology on Tour Registration Question Title * 1. Event Location Coffs Harbour (23 June 2015) - Cavanbah Centre, 191 Harbour Drive, Coffs Harbour Armidale (25 June 2015) - Kent House Activities Room, 141 Faulkner Street, Armidale Question Title * 2. Please Enter Your Name First Name Last Name Question Title * 3. Your Role / Occupation: Question Title * 4. Number of Attendees Question Title * 5. If other people are attending with you, please add their names below: Participant 1 Participant 2 Participant 3 Participant 4 Other Question Title * 6. Contact Number Question Title * 7. Email Question Title * 8. Special Considerations or Additional Notes (e.g. wheelchair access, hearing or vision requirements, etc.) Question Title * 9. Which focus talks are you interested in attending? (Please tick more than one if applicable)The talks go for 45 minutes. 1- Out and About: Mobility Options (10.45am) 2- Caring for You: Self-Care Options (11.45am) 3- Connecting to the World: Communication Options (1pm) 4- Let's See: Vision Options (2pm) Question Title * 10. Please indicate if you would like to be added to the ILCNSW mailing list for email notification of future ILCNSW events. Yes, I would like to be added to the ILCNSW mailing list. Question Title * 11. How did you hear about this event? ILCNSW Website Newsletter - Disability Group Word of Mouth Flyer Social media (e.g. Facebook) Other (please specify) Done