Sunsmart

Healthway

Cancer Council Western Australia

Generation Sunsmart

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Registration Form

User name

Enter a user name, usually something like 'jsmith'. No spaces or special characters. User names and passwords are case sensitive, make sure the capslock key is not enabled. This is the name used to log in.

First name (Required)

Enter your first name here.

Last name (Required)

Enter your last name here.

Phone Number

Please enter your daytime telephone number in the format: (AREA CODE) PHONE NUMBER

E-mail (Required)

Enter an email address. This is necessary in case the password is lost. We respect your privacy, your email address will only be used for purposes relatingto communication and evaluation of this workshop.

Postal Address

Please list your postal address below.
This address will be used for any written correspondence to participants.

City

State (Required)

Country (Required)

Postcode

Please check this box if you are in the Metropolitan Area of your capital city.

Current Position (Required)

Please choose from the list below

Current Position (if not specified above)

Please provide a brief description of your current position.

Name of School or Child Care Centre (if you are currently teaching)

Please list your school or centre below

Have you taught sun protection before? (Required)

Please choose from the list below

How did you find out about the Generation SunSmart website?

Please choose from the list below

How did you find out about the Generation SunSmart website? (if not specified above)

Reason for accessing this professional development website

Please let us know your reason for accessing this professional development website. If you have any comments for us or need to tell us anything, please feel free to let us know here.

Which resource would you like to receive?

Please choose from the list below

Be SunSmart, Play SunSmart (Child Care resource)
Kidskin Yr 1
Kidskin Yr 2
Kidskin Yr 4
Kidskin Yr 6/7
Tattoo Secondary Resource (Yr 8-12)
Real Stories DVD Package (Yr 8-12)

Is this the first time you have registered to the Generation SunSmart web site? (Required)

If No, what is the reason for registering again?

Reason for registering again (other)

I would like to be sent information about Generation SunSmart and the new modules as they become available

The Cancer Council WA is committed to respecting the rights of individuals including their expectations of privacy, and fully supports the principles contained within the legislative privacy guidelines. The information you have provided will not be passed on to a third party and will only be used for contacting you in relation to the Generation SunSmart website and resources available.

Password

Minimum 5 characters

Confirm password

Re-enter the password. Make sure the passwords are identical.

Send a mail with the password