BOOK YOUR TICKET

Complete the form below and we will send you the ticket. Please complete a new form for each attendee.

First Name *

Last Name *

Phone

Email

Date of birth

Are you a participant or a Support Person *

Participant

Support

Emergency Contact Detials *

Will this be the first time attending a NeuroAwesome event? *

Yes

No

How would you describe your neurodivergence?

What Hobbies do you enjoy?

We’ll be offering quiet, structured activities to help you get to know people. Which of these interest you?

Do you have any dietary needs or allergies we should know about?

What are you hoping to get out of this event?

If there is anything we can do to make this event feel safe and fun for you please list here:

Do you feel more comfortable meeting people one-on-one, in small groups, or with a facilitator helping?

One-on-one

Small group

With a facilitator

I’m not sure

Is there anything else you’d like to tell us about yourself, your preferences, or how we can support you?

Do you grant Neuro Awesome permission to capture and use your media (photos/video/audio) for promotional purposes, consistent with the choices as outlined in our media policy (link at the bottom). *

I approve (Yes)

I do not approve (No)

I agree to the terms of the event.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others.

Privacy Policy | Event Terms | Media Policy

0468 040 022