Blue Voices Registration

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1. Create account

In this registration form, we invite you to tell us a range of information from your contact details to your personal and/or health information. The more you tell us, the more we can personalise your experience with Blue Voices. This may include sending you activities that a specifically relevant to your personal experience of interests.

Any information you provide is securely stored and used in accordance with our privacy policy.
The information you provide us is not available to other Blue Voices members.

First Name

Surname

Email address

Date of birth

Anyone aged 16 years or over can join Blue Voices. However, if you are under 18, you will require parental/guardian consent to participate in a Blue Voices activity.

3. Personal information

Street Address

Suburb

Postcode

State / Territory

Mobile Phone Number

Home Phone Number

Please indicate who your experience of depression and/or anxiety primarily relates to

MyselfSomeone I support

If your experience is relating to someone you support, please indicate your relationship. The person is your:

6. Your interests

Please tell us more about the sort of activities in which you may like to participate as a Blue Voices member so we can send you opportunities that are of interest to you

Connecting with others onlineSharing your story (online)Informing Beyond Blue's workAdvocating for mental health issuesSpeaking publicly about your mental health experienceSharing your story with the mediaVolunteering at events

Yes, subscribe me to the Blue Voices newsletter to learn about upcoming opportunities. By ticking this box, you will also receive other occasional Beyond Blue marketing communications.

7. Confirmation

By clicking on the submit button below:

I acknowledge that Beyond Blue will collect, use and disclose my personal information in accordance with its Privacy Policy
I understand that I can unsubscribe from all emails at a later date
I confirm that all information I have provided is true and correct; and
I understand that I need to notify Beyond Blue if my details change or I wish to cancel my Blue Voices membership