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BE INSPIRED

BUILD RESILIENCE

CREATE HOPE

TRANSFORM FUTURES

Featuring over 20 speakers, workshops, immersion programs and entertainment

REGISTRATION APPLICATION FORM

Registrations Closed for 2024
Register your interest for 2025

Address: Sea World Resort Conference Centre Sea, World Drive Main Beach, QLD

Please complete the registration application form.

Your Name *

First

Last

Email Address *

Mobile Contact *

Date of Birth: *

Gender:

Male
Female

Identify as:

School or organisation:

Suburb where you live: *

Dietary or Allergies: *

Yes
No

(Morning tea, lunch and afternoon tea is provided on both days)

List special dietary (if any):

List allergies (if any):

Transport to and from IMPACT (please select one): *

Self-drive
Parent/Guardian will drop off and collect
School will arrange
Request transport assistance

IMPACT: Friday Time: Arrival 8.30 am-8.45 am. Finish at 4.30 pm. Depart between 4.30 pm-5 pm
IMPACT: Saturday Time: Arrival 8.45 am-9 am. Finish at 2.00 pm. Depart between 2 pm-2.30 pm

Request transport assistance details:

Do you have any special needs or require disability access? (Yes or No. If yes, please mention it below) *

Do you require a support worker or guardian to attend? (Yes or No. If yes, please mention name below) *

Support worker or Guardian Contact Number:

Key interests: Workshops and Immersion Excursions (must select 3) *

Mental Health & Wellness
Environment & Sustainability
Social Impact & Volunteering
Leadership & Entrepreneurship
Economic Future
Equality and Inclusion
Resilience
Conservation & animal rescue and research
Arts, culture and heritage

Emergency Contact Name: *

First

Last

Emergency Contact Number: *

CONNECT WITH US

QUICK LINKS

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AN INITIATIVE OF FUTURE GOLD COAST FOUNDATION

THE BUSINESS BITS

Privacy policy
Volunteers

IMPACT Gold Coast Youth Summit has a privacy policy in place which outlines how personal information will be used, managed and protected by the organisation. All information provided to IMPACT and Future Gold Coast Foundation will remain confidential and protected. Click here to read our Privacy policy.

IMPACT Gold Coast Youth Summit respects and honours the Traditional Custodians of the land and pay our respects to their Elders past, present and future. We acknowledge the stories, traditions and living cultures of Aboriginal and Torres Strait Islander peoples on the lands we meet, gather and play on.

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