Blue Voices Registration

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Section 1: Personal Information

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.

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

Pronouns

Pronouns Other

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.

Postcode

State / Territory

Mobile Phone Number

Alternative Phone Number

Do you have a current Working with Children's Check (State/Territory equivalent)?

At Beyond Blue we care about the safety and wellbeing of children. For some activities, we will require Blue Voices members to have a valid Working with Children’s Check (WWCC) or equivalent in your State/Territory. You do not need a valid WWCC to register now.

Working with Children's Check Number (State/Territory equivalent)

Working with Children's Check Expiry (State/Territory equivalent)

Section 2: Mental health experiences

To join Blue Voices, we need to understand a little bit about your mental health experiences.

If you are currently in crisis, we encourage you to reflect on whether this is the right time to join and suggest reaching out to the following supports:

- Beyond Blue Support Services online or phone 1300 22 4636

- Lifeline online or phone 13 11 14

- Always call 000 in case of emergency

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

Which of the following mental health conditions have you (or someone you support) experienced?

Please specify which mental health condition

Section 3: Tell us about yourself

It is important that a diverse range of backgrounds, experiences and perspectives guide Beyond Blue's work. The optional questions below are designed to help us understand a bit about you. On occasion, we may send you activities that relate to your specific background or experience.

In which country were you born?

Please specify your country of birth

Do you speak a language other than English at home?

No - English onlyYes

Please specify language(s) spoken

How do you best describe your gender identity?

Gender refers to current gender, which may be different to sex recorded at birth and may be different to what is indicated on legal documents.

Please specify

How do you describe your sexual orientation?

Please specify

Section 5: 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 am subscribing to the Blue Voices email list to learn about upcoming opportunities

I understand that by subscribing to this list, I will also receive other occasional Beyond Blue marketing communications

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

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