Current events

Individual registration

Please complete the form below to register for the Building a safer future: Perioperative Debriefing event.

First name *

Last name *

Organisation *

Position

Phone *

Email *

Address *

Address 2

Suburb *

State *

State (other) *

Post code *

Special requirements dietary/physical

Use of image

I give permission for the VSA to utilise my image in any photography and/or video from this event for use within VSA newsletters, website and promotional/educational materials

Country

By registering for this event, I accept the terms and conditions