LLGA
Register
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About you
This information is important as it allows us to contact you for program updates or session changes.
Your details
Gender
Male
Female
Date of birth
Allowed age is 18+
DD
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MM
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YYYY
2003
2002
2001
2000
1999
1998
1997
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1991
1990
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
General
Country of birth
Please select
Australia
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Trty.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Caicos Islands
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Futuna Islands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard
Herzegovina
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen Islands
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea (Democratic)
Kuwait
Kyrgyzstan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
McDonald Islands
Mexico
Micronesia
Miquelon
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Principe
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts
Saint Lucia
Saint Martin (French part)
Saint Pierre
Saint Vincent
Samoa
San Marino
Sao Tome
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
The Grenadines
Timor-Leste
Tobago
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wales
Wallis
Western Sahara
Yemen
Zambia
Zimbabwe
Are you Aboriginal?
Yes
No
Are you Torres Strait Islander?
Yes
No
Are you both Aboriginal and Torres Strait Islander?
Yes
No
Main language spoken at home
Please select
English
Afar
Abkhazian
Afrikaans
Amharic
Arabic
Assamese
Aymara
Azerbaijani
Bashkir
Byelorussian
Bulgarian
Bihari
Bislama
Bengali/Bangla
Tibetan
Breton
Catalan
Corsican
Czech
Welsh
Danish
German
Bhutani
Greek
Esperanto
Spanish
Estonian
Basque
Persian
Finnish
Fiji
Faeroese
French
Frisian
Irish
Scots/Gaelic
Galician
Guarani
Gujarati
Hausa
Hindi
Croatian
Hungarian
Armenian
Interlingua
Interlingue
Inupiak
Indonesian
Icelandic
Italian
Hebrew
Japanese
Yiddish
Javanese
Georgian
Kazakh
Greenlandic
Cambodian
Kannada
Korean
Kashmiri
Kurdish
Kirghiz
Latin
Lingala
Laothian
Lithuanian
Latvian/Lettish
Malagasy
Maori
Macedonian
Malayalam
Mongolian
Moldavian
Marathi
Malay
Maltese
Burmese
Nauru
Nepali
Dutch
Norwegian
Occitan
(Afan)/Oromoor/Oriya
Punjabi
Polish
Pashto/Pushto
Portuguese
Quechua
Rhaeto-Romance
Kirundi
Romanian
Russian
Kinyarwanda
Sanskrit
Sindhi
Sangro
Serbo-Croatian
Singhalese
Slovak
Slovenian
Samoan
Shona
Somali
Albanian
Serbian
Siswati
Sesotho
Sundanese
Swedish
Swahili
Tamil
Tegulu
Tajik
Thai
Tigrinya
Turkmen
Tagalog
Setswana
Tonga
Turkish
Tsonga
Tatar
Twi
Ukrainian
Urdu
Uzbek
Vietnamese
Volapuk
Wolof
Xhosa
Yoruba
Chinese
Zulu
English proficiency
Please select
Very well
Well
Not well
Not at all
Relationship status
Married
Single
Do you have children and what age(s)?
No Children
Children under 2 years
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Children 3 - 10 years
Please select
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Children 10 - 18 years
Please select
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Children over 18 years
Please select
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Emergency contact details
Emergency Contact Name
Emergency Contact Number
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