Kimberley Aboriginal-led Alcohol and Other Drugs (AOD) Plan

Consultation Workshop Registration Form

Thank you for your interest in contributing to the development of the Kimberley Aboriginal-led AOD Plan. The Plan is being developed with the Drug, Alcohol and Mental Health Sub-committee (DAMH-SC), a Sub-committee of the Kimberley Aboriginal Health Planning Forum (KAHPF).

This workshop provides an opportunity to share your knowledge, experience and perspectives to help inform the Plan.

Please complete the registration form below if you wish to attend this workshop.

Please note that all individuals wishing to attend a consultation session are required to register separately.

Contact details

First Name *

Last name *

Organisation *Enter "N/A" if you are not representing an organisation.

Position/title

Email *

Mobile *

Consultation sessions

Which consultations session would you like to attend? *

Derby (in person only) – 28 July 2026, 8.30 am to 12.30 pmOnline – 29 July 2026, 1.00 pm to 3.00 pmOnline – 30 July 2026, 9.00 am to 11.00 amAOD Service Providers (online) – 30 July 2026, 1.00 pm to 3.00 pmKununurra (in person only) – 4 August 2026, 8.30 am to 12.30 pm

If you are attending a workshop in Derby or Kununurra, do you have any dietary requirements? *

YesNo

Please specify your dietary requirements *

Do you have any accessibility, communication or support requirements that would help you participate in this workshop?

YesNo

Please tell us what would support your participation

Consent

Do you consent to receiving future updates about the Plan, the DAMH-SC or the KAHPF? *

YesNo

If you attend an in-person consultation session at Derby or Kununurra, do you consent to photographs being taken and used by KAMS, DAMH-SC or KAHPF in future publications, reports, websites and social media?

YesNo

Thank you

We look forward to seeing you at an upcoming consultation session.

Further information, including venue details, online meeting links and any pre-reading materials, will be provided closer to the date.

If you have any enquiries, please contact kahpf@kamsc.org.au.