Mobile App Registration
First name:
Last name:
User name:
Email:
Password:
Confirm password:
Date of birth:
Suburb:
Gender:
Emergency contact name:
Emergency contact number:
Want tell more
Suburb:
Street Address:
Phone Number:
Postcode:
Do you hold the health care card:
Chronic health conditions(i.e diabetes,cancer,obesity)
Chronic health conditions:
Allergies to any medications in case of accident?
Allergies to any medications:
Are you of Aboriginal or Torres Strait Islander origin?
In a typical week, do you/does the participant meet the Australian phycical activity guidelines as outlined below?
Guidelines:
Where were you born ?
What Languages do you speak at home?
Successful Registration:
We have sent an email to your nominated email address to verify your email address.
� You must click on the link within the email to verify before you can login to the app

Your personal QR code for registering at programs is below, please print it (without changing the size) and bring it along to register at programs.