MEMBER REGISTRATION FORM Name(Required) First Last Position(Required)Council(Required)Albury City CouncilArmidale Regional CouncilBallina Shire CouncilBalranald Shire CouncilBathurst Regional CouncilBega Valley Shire CouncilBellingen Shire CouncilBerrigan Shire CouncilBland Shire CouncilBlayney Shire CouncilBogan Shire CouncilBourke Shire CouncilBrewarrina Shire CouncilBroken Hill City CouncilByron Shire CouncilCabonne CouncilCampbelltown City CouncilCanterbury Bankstown CouncilCarrathool Shire CouncilCastlereagh-Macquarie County CouncilCentral Coast CouncilCentral Darling Shire CouncilCentral Murray County CouncilCentral Tablelands CountyCessnock City CouncilCity of Canada Bay CouncilCity of NewcastleCity of RydeClarence Valley CouncilCobar Shire CouncilCobar Water BoardCoffs Harbour City CouncilCoolamon Shire CouncilCoonamble Shire CouncilCootamundra Gundagai Regional CouncilCowra Shire CouncilDungog Shire CouncilEdwards River CouncilEurobodalla Shire CouncilFairfield City CouncilFederation CouncilForbes Shire CouncilGeorges River CouncilGilgandra ShireGlen Innes Severn CouncilGoldenfields Water County CouncilGoulburn Mulwaree CouncilGreater Hume Shire CouncilGriffith City CouncilGwydir Shire CouncilHawkesbury River County CouncilHay Shire CouncilHilltops CouncilHornsby Shire CouncilInner West CouncilInverell Shire CouncilJunee Shire CouncilKempsey Shire CouncilKu-ring-gai CouncilKyogle CouncilLachlan Shire CouncilLake Macquarie City CouncilLeeton Shire CouncilLGNSWLismore City CouncilLithgow City CouncilLiverpool Plains Shire CouncilLockhart Shire CouncilMaitland City CouncilMid Coast CouncilMoree Plains Shire CouncilMosman Municipal CouncilMurray River CouncilMurrumbidgee CouncilMuswellbrook Shire CouncilNambucca Valley CouncilNarrabri Shire CouncilNarrandera Shire CouncilNarromine Shire CouncilNew England TablelandsNorfolk Island Regional CouncilNorth Sydney CouncilNorthern Beaches CouncilOberon CouncilPort Stephens CouncilQueanbeyan Palerang CouncilRandwick City CouncilRiverina Water County CouncilRous County CouncilShoalhaven City CouncilSingleton CouncilSnowy Valleys CouncilStrathfield CouncilSutherland Shire CouncilTamworth Regional CouncilTemora Shire CouncilTenterfield Shire CouncilThe Hills Shire CouncilTweed Shire CouncilUpper Hunter County CouncilUpper Hunter Shire CouncilUpper Lachlan Shire CouncilUpper Macquarie County CouncilUralla Shire CouncilWagga Wagga City CouncilWalcha CouncilWalgett Shire CouncilWarren Shire CouncilWarrumbungle Shire CouncilWaverley CouncilWeddin CouncilWentworth Shire CouncilWingecarribee Shire CouncilWollondilly Shire CouncilWoollahra Municipal CouncilYass Valley CouncilEmail(Required) Phone(Required)CONFERENCEWill you be attending both days of the conference?(Required)YesNoThursday 22nd and Friday 23rd August 2024If not, which day will you be attending?(Required)Thursday OnlyFriday OnlyBREAKOUT SESSIONSPlease indicate which Breakout Session you would like to attend on Day 1, Thursday 22nd August:(Required) BREAKOUT SESSION 1: Cyber BREAKOUT SESSION 2: Artificial Intelligence Cyber: Session 1 Hear from our members as they take you on their journey from uplifting cyber risk maturity and to the other extreme, being involved in a cyber attack and how the triage process panned out. Artificial Intelligence: Session 2 AI is all the buzz. As this technology makes its way into local government, see how our members are harnessing the potential of artificial intelligence to better manage road assets and reduce recycling waste.Please indicate which Breakout Session you would like to attend on Day 2, Friday 23rd August:(Required) BREAKOUT SESSION 3: Risk Culture BREAKOUT SESSION 4: Claims Management Risk Culture: Session 3 Culture is the key to ensuring your ERM framework is effective. To do that you need to bring your staff along for the journey. Listen in as our members share their stories of embedding risk culture into their organisations. Claims Management: Session 4 Join Gareth and his team, as your local government claims experts discuss topical claims and claims management processes. GENERAL MANAGERS FORUMAre you a General Manager?(Required)YesNoIf yes, would you like to attend the General Managers Luncheon?(Required)YesNoDINNERWill you be attending the Conference Dinner?(Required)YesNoHeld on Thursday 22nd August at The Sofitel WentworthPRE CONFERENCE EVENTWe will be hosting pre-conference drinks and canapes on the 21st August, will you be attending?(Required)YesNoTime 5:30pm - 7:30pm. Venue: Marsh Barangaroo Offices. DIETARY REQUIREMENTSDo you have any dietary requirements?(Required)None at allGluten FreeVegetarianVeganOtherThis will be factored for both the conference catering and the dinner catering.Please outline any other dietary requirements you have and we will endeavour to address these.(Required)PAYMENT TERMS & CONDITIONSAs a Member, your conference registration and dinner costs are covered by the Mutual. However, if cancellation notice is not received by Monday 12th August 2024, or you do not show up, you will be invoiced the full amount of $760 (inc GST) for the 2 day conference and $240 (inc GST) for the dinner.(Required) I have read and agree to the Payment Terms & Conditions