Carer Wellbeing and Connection Online Program Form

Thank you for your interest in attending the Carer Wellbeing and Connection Online Program

Please complete this form to register your interest in attending a group in February 2025:

First name and surname *

Suburb - First priority is given to carers living in the North Western Metro region of Melbourne* *

Postcode *

*If you LIVE outside of the North Western Metro Region, please advise of your link to the area (e.g. work, study, visit GP etc)

Mobile/Phone Number *

Email Address *

Please specify which group is your preference

GROUP A: Beginning 18 February 2025 Four Tuesday morning sessions. 10.30am – 12.00pm FREE online four-session program via Zoom
GROUP B: Beginning 18 February 2025 Four Tuesday evening sessions 6.30pm – 8.00pm FREE online four-session program via Zoom

If more than one preference, please specify in number order of your preference of group selection.

Carer Wellbeing and Connection Online Program Form

Carer Wellbeing and Connection Online Program Form

Thank you for your interest in attending the Carer Wellbeing and Connection Online Program

Please complete this form to register your interest in attending a group in February 2025:

Please note