Live Life Healthy registration form

The form below is to be used to refer participants for any of the programs within the Council's Live Life Healthy program.

This project aims to increase physical activity and improve healthy eating amongst people predominantly not in the paid workforce in the Fraser Coast region.

The project is not selective in who can attend the sessions advertised, however participants must meet criteria to be eligible for any subsidies available.

Privacy notice
In using this form you are providing personal information. This information will be used for the purpose of registering your interest in the programs and activities within the Live Life Healthy program and will only be accessed by persons authorised to do so. Your personal information is handled in accordance with the Information Privacy Act 2009.
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Participants work status?

Does the participant identify with any of the following?

Which of the programs is the participant interested in?

Restrictions from attending physical activity sessions?

Restrictions from healthy eating?

How did you hear about this Program?