CHILD SAFE REGISTER – CSEN

First Name

Last Name

Email

Organisation / School

CSEN Event

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I have read and accept the CSEN Child Safe Policy - https://csen.org.au/child-safety-policies/
I have read and accept the CSEN Code of Conduct - https://csen.org.au/child-safety-policies/
I have read and accept the CSEN Child Safety Reporting Obligations - https://csen.org.au/child-safety-policies/
I have read and accept the CSEN Privacy Policy - https://csen.org.au/child-safety-policies/

WWC Clearance or other exemption?

WWC Clearance

VIT

Exemption - insert details below

Working with Children Clearance or Other Number

WWC Clearance or Other Expiry

Exemption Details

Signature

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