Care Coterie Conference 2026 Queenstown

2026 CARE COTERIE CONFERENCE | REGISTRATION SITE

Please complete the form below for each individual attending. You will have the option of registering your life partner during your registration (only applicable to certain registration types).

As you complete the details on each page click 'next' to proceed. Once you have completed the online registration form you will receive an email to confirm that your registration has been received.

This form will take approximately 10 minutes to complete.

CONTACT DETAILS

First name:

Last name:

Preferred first name for name badge:

Preferred last name for name badge:

Firm name:

Street address:

Suburb/ City:

State:

Postcode:

Mobile number:

Email address:

Verify email address:

REGISTRATION TYPE

Please select your registration type from the options below:

DELEGATE

Delegate FULL

PARTNER IN EDUCATION

Partner in Education FULL

COUNT GROUP

Count Staff FULL

Board Member FULL

PRIVACY POLICY

Eventscape collect personal information in order to register you for the 2026 Care Coterie Conference. The host Count Limited, also collects your personal information. Please read the Eventscape Privacy Policy and the Count Privacy Policy for more information about how they collect, handle and protect your personal information.

CONTACT

Eventscape Team count.edconference@eventscape.com.au

REGISTRATION POLICY

Please ensure that you and your life partner (where relevant) read and understand the enclosed Registration Policy prior to proceeding with your registration.

Yes, I acknowledge that I have read and understood the Registration Policy for the 2026 Care Coterie Conference

CONTACT

Eventscape Team count.edconference@eventscape.com.au

SPECIAL DIETARY REQUIREMENTS

Please advise below any dietary requirements for yourself.

Other (not listed above)

Medical requirements

Please advise below any medical requirements for yourself.

Other (not listed above)

Emergency contact

Your emergency contact must be someone who is NOT travelling with you.

Emergency contact name:

Emergency contact number:

Relationship to you:

CONTACT

Eventscape Team count.edconference@eventscape.com.au

YOUR EVENT GIFT

As part of your CARE Coterie experience, you’ll receive a complimentary fleece pullover.

Please select your preferred size below to help us order the correct fit.

We’ve provided both Women’s and Men’s size guides to assist with your selection. If you’re between sizes, we recommend sizing up. If unsure, compare the measurements with a similar garment you already own.

WOMEN'S SIZE

Please select your preferred size from the Women’s range.
View Women's size guide

MENS SIZE

Please select your preferred size from the Men’s range.
View Men’s size guide

CONTACT

Eventscape Team count.edconference@eventscape.com.au

LIFE PARTNER ATTENDANCE

Will your life partner be attending the 2026 Care Coterie Conference?

Yes

CONTACT

Eventscape Team count.edconference@eventscape.com.au

LIFE PARTNER REGISTRATION

Please provide your accompanying life partner's information by checking the box below.

Accompanying partner registration FULL

First name (preferred for name badge):

Last name (preferred for name badge):

Life partner mobile:

Dietary requirements:

Medical / special requirements:

CONTACT

Eventscape Team count.edconference@eventscape.com.au

PAYMENT OPTIONS

Please select your payment option:

Invoice

An invoice will be issued by Eventscape and payable by the due date.

Online credit card

AMEX, Visa & MasterCard 2% surcharge.

Brokerage (Applicable to firms with a Count brokerage code)

GPS Wealth: The full amount will be deducted in the first pay run post registration. We will not include brokerage as a payment option post the September 2026 pay run.

Count Financial: The full amount will be deducted in the first pay run post registration. We will not include brokerage as a payment option post the September 2026 pay run.

Paragem: No brokerage payment available, all registrations must be invoiced through Eventscape.

CONTACT

Eventscape Team count.edconference@eventscape.com.au

PAYMENT OPTIONS

Please select your payment option:

Invoice

An invoice will be issued by Eventscape and payable by the due date.

Online credit card

AMEX, Visa & MasterCard 2% surcharge.

No payment required

CONTACT

Eventscape Team count.edconference@eventscape.com.au

BROKERAGE CODE

Please provide your Brokerage Code below:

Brokerage Code

CONTACT

Eventscape Team count.edconference@eventscape.com.au

SUMMARY

Please ensure your registration is correct below, once confirmed please press 'next' at the bottom of this page.

CONTACT

Eventscape Team count.edconference@eventscape.com.au

PAYMENT

Payment can be made via:

Invoice
An invoice will be issued by Eventscape and payable by the due date.

Online credit card
AMEX, Visa & MasterCard 2% surcharge.

Brokerage (Applicable to firms with a Count brokerage code)

GPS Wealth: The full amount will be deducted in the first pay run post registration. We will not include brokerage as a payment option post the September 2026 pay run.

Count Financial: The full amount will be deducted in the first pay run post registration. We will not include brokerage as a payment option post the September 2026 pay run.

Paragem: No brokerage payment available, all registrations must be invoiced through Eventscape.

CONTACT

Eventscape Team count.edconference@eventscape.com.au

THANK YOU

Thank you for registering for the 2026 Care Coterie Conference

A confirmation email will be sent to you shortly.

CONTACT

Eventscape Team count.edconference@eventscape.com.au

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