Complete this form to register your interest in the NT Lived Experience Networks Katherine peer support programs, community workshops and Certificate IV Peer Work vocational training.

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* 1. Name:

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* 2. Contact Phone Number:

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* 3. Contact Email Address (optional):

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* 4. Please let us know which opportunities in the Katherine region you are interested to attend or simply find out more information about (select all that apply).

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* 5. Please let us know how you heard about our programs, workshops and training.

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