Whadjuk Providers

This form is for members who provide Welcome to Country, smoking ceremonies, traditional dance, cultural training, heritage monitoring and/or surveys, and would like to be added to our distribution list.

You can also email us at kaya@whadjuknoongar.org.au.

Title

First name

Surname

Date of birth

YYYY

Member number (if known)

Organisation or group name (if applicable)

Services you provide

Welcome to Country

Traditional dance group

Smoking ceremony

Cultural training

Heritage monitoring

Heritage surveys

Postal address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile phone

(###)

###

####

Work phone

(###)

###

####

Preferred method of contact

Phone

Whadjuk Providers

Whadjuk Aboriginal CorporationABN: 14 190 329 120

Whadjuk Aboriginal Corporation
ABN: 14 190 329 120