Register to attend the 2023 UWA Breakfast

Friday 24 February 2023

8 – 11.30am

The University of Western Australia – Crawley Campus

Preferred name*

Last name*

Email address*

Mobile phone

School

Position/Title

Do you have any access requirements?

Do you have any dietary requirements?

Hold the 'Ctrl' key to select multiple

If you selected 'Other', please advise your dietary requirement

Are you bringing a guest?*

Guest preferred name

Guest surname

Guest email

Guest mobile phone

Which of the following best describes your guest?

Guest school

Guest position title

Does your guest have any access requirements?

Does your guest have any dietary requirements?

If you selected 'Other', please advise your dietary requirement

By opting-in you are consenting to the collection of your personal information by UWA for the primary purpose of contacting you about UWA's activities, including receiving newsletters and participating in surveys in accordance with UWA’s privacy policy.

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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