CHARLES DARWIN SYMPOSIUM SERIES 2005

Registration

We are now taking registrations for the May/June 2005 Symposium.

There is no charge to attend the Charles Darwin Symposium Series. However, for planning and catering, we do require that you register an intention to attend.

The easiest way to register is by completing the following form and submitting it online.

Other ways to register are:

Phone:	+61 8 8946 6529
Email:	cdss@cdu.edu.au
Fax:	+61 8 8946 6533
Mail:	Charles Darwin Symposium Series Charles Darwin University Darwin NT 0909

Note: fields marked with a * are required details.

Title

* First Name

* Family Name

Organisation

Position

* Street Address

* Suburb

* Post Code

* Telephone

Fax

* Email

Special dietary requirements
/ Other

* How did you hear
about the Symposium?

* Please check below which session(s) you will be attending

Session	Title	Date	Time	Attending?
1	20th Anniversary Celebration of Menzies School of Health Research	31/05/05	8.30am - 10.30am
2	Engaging with the Region		11.00am - 12.30pm
	Lunch		12.30pm - 1.30pm
3	Looming Horizons		1:30pm - 3.00pm
4	Panel Discussion: future challenges in infectious disease		3.20pm - 4.20pm
5	Impact of Urbanisation	01/06/04	9:00am - 10.30am
6	A Healthy Start to Life		11.00am - 12.30pm
	Lunch		12.30pm - 1.30pm
7	Future Challenges in Indigenous Health		1.30pm - 3.00pm
8	Panel Discussion: future challenges in Aboriginal Health		3.20pm - 4.30pm

Have you attended any previous Charles Darwin Symposia?

Symposium	Title	Date	Attended
1	Making Good Policy: Issues for North Australia in the 21st Century	21-22 May 2003
2	Beyond the Frontier: Sustainable Futures for North Australia	17-18 July 2003
3	The Eye of the Storm: Northern Australias Location in an Arc of Instability	29-30 September 2003
4	Emerging Futures: Shaping our Community	8-9 December 2003
5	Creative Tropical City	2-3 June 2004
6	The Living Desert	9-10 November 2004

Charles Darwin University may contact you in the near future to request feedback on the 2005 Symposium Series. This information will not be disclosed to any third party. Should you not wish to participate please check the appropriate option below. Thank you.

Yes, I would like to participate

No, I would not like to participate

Note: Details with a * are required before submitting this form online

Remember, if you find you cannot make it on the day let us know.

For more information contact:

Email:	cdss@cdu.edu.au
Phone:	+61 8 8946 6529
Fax:	+61 8 8946 6533

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