Register to attend the 2023 UWA Breakfast
Friday 24 February 2023
8 – 11.30am
The University of Western Australia – Crawley Campus
Preferred name
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Last name
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Email address
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Mobile phone
School
Position/Title
Do you have any access requirements?
Do you have any dietary requirements?
-- Please select --
Vegetarian
Vegan
Gluten Free
Dairy Free
Halal
Seafood allergy
Nut allergy
Other
Hold the 'Ctrl' key to select multiple
If you selected 'Other', please advise your dietary requirement
Are you bringing a guest?
*
-- Please Select --
Yes
No
Guest preferred name
Guest surname
Guest email
Guest mobile phone
Which of the following best describes your guest?
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High School Student
School leaver aged 18-20 years
Undergraduate University Student at UWA
Postgraduate University Student at UWA
Mature age (over 20 years of age)
Working Professional
School or Career Counsellor
Education Agent
Parent of someone considering university
Teacher
UWA Staff Member
Current Student of Another University
UWA Graduate
Graduate of Another University
Other
Guest school
Guest position title
Does your guest have any access requirements?
Does your guest have any dietary requirements?
-- Please select --
Vegetarian
Vegan
Gluten Free
Dairy Free
Halal
Seafood allergy
Nut allergy
Other
If you selected 'Other', please advise your dietary requirement
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By opting-in, you are also confirming these details are your own and correct, and that you have obtained your parent’s or legal guardian's consent where necessary.
You may opt out at any time by advising UWA. Personal information collected is handled in accordance with the Australian Privacy Principles.
I agree to the UWA terms and conditions for future marketing. (required)
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