Workshop form Step 1 of 6 16% About youFull name:*This is the person we will contact about the workshop Are you:* An organisation A community group or club Private group (at home or venue) Your organisation / community / group name?* Email address:* Mobile number:*Area and state (for the time zone differences)* City State About the workshopDelivery*Do you want the workshop delivered onsite or on Zoom? Onsite (at home or venue) Zoom or video conferencing Type of workshop* Deaf or mainstream community School Event Private group Information stall only Number of participants*Please be mindful if it is a zoom session we need to limit the number of persons if it is a group workshop 2-6 (suitable for group workshop) 7-10 10 - 15 15 - 25 25+ Age of participants (select all that applies)* Primary ages 6-12 Secondary ages 13-18 Youth ages 16-25 Adults Elderly Type*Select all types of participants attending the workshop Deaf or hard of hearing persons Persons with disability Hearing persons Can all of the participants communicate in Auslan?*Choose the ones that suits most of the participants' communication levels Yes everyday Learning Auslan Cannot sign Auslan Will any of the client/s require a support worker to assist them in the workshop?* Yes No Will you need Auslan interpreters for the workshop?* Yes No Who will book the Auslan interpreting service?* You will book the interpreters You want Deaf Chef Ross to book the interpreters PowerPoint (if onsite delivery)Do you have a set-up for using PowerPoints in the workshop? - this includes screen (or a clean white wall), projector and cables Yes No Is the venue insured for the workshop?*This is for onsite delivery or a workshop provided at your proposed venue. The venue's public liability insurance policy must have adequate cover for Deaf Chef Ross and your attendees. Homeowner shall maintain adequate public liability insurance in their homeowner policy to cover workshop participants. Yes No Not having onsite workshop Is the venue a building or a home?*Please note: Homeowners shall maintain adequate public liability insurance in their homeowner policy to cover workshop participants Organisation Building Home Is there a maximum number of people allowed at the venue?*Some insurances have a limit or cap on the number of attendees to be covered. Yes No What is the maximum number?* Safety checkAllergies, food intolerances and diet preferences. As the wokrshop coordinator, please ensure that each participant states their allergies, food intolerances and preferences in their registration form. This is very important for safety reasons. Allergies*Do you have any known FOOD ALLERGIES? Food allergies can be dangerous for some people and cause an immediate or delayed reaction in your body. Some common food allergies include peanuts, tree nuts, eggs, shellfish, sesame seeds. Please list all food allergies you may have or type None: Food intolerances*Do you have any known FOOD INTOLERANCES? Food intolerances are different than allergies and may be a food that is difficult for you to digest or that irritates your digestive system. Some common intolerances include dairy, Gluten, caffeine, sulphites. Please list all food intolerances or type None: Food preferences*Do you have FOOD PREFERENCES? These may include religious preferences. Some diets that cater to food preferences include vegan, vegetarian, pescatarian, kosher, halal, paleo. Please list your food preferences (both what you prefer to include and what you prefer to exclude) or type None: FundingHow is the workshop funded?*Please note: Organisations who book with Deaf Chef Ross (DCR) will contract with DCR and request fees from participants and/or NDIS. Participants with NDIS plan Participants without NDIS Mixture of participants with and without NDIS plan Private funds Workshop ProgramWorkshop topics*Select the program/s you want for the workshop (please be mindful of the workshop length) Talk about Food with optional demonstration Health issues and how to eat/drink the right way Small group workshop with optional demonstration Approximate date for the workshop*We may / may not be able to deliver on this date but will work around it with youDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address of workshop (if not using zoom) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What are the information, aims and goals that everyone hopes to achieve from the workshop?* AcknowledgementCAPTCHA Get in touch with us Would you like more information about the programs? 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