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 CouncilCarrathool Shire CouncilCastlereagh-Macquarie County CouncilCentral Coast CouncilCentral Darling Shire CouncilCentral Tablelands WaterCessnock City CouncilCity of Canada Bay CouncilCity of Canterbury BankstownCity of NewcastleCity of RydeClarence Valley CouncilCobar Shire CouncilCobar Water BoardCoffs Harbour City CouncilCoolamon Shire CouncilCoonamble Shire CouncilCootamundra Gundagai Regional CouncilCowra Shire CouncilDungog Shire CouncilEdward 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 Weeds AuthorityNorfolk Island Regional CouncilNorth Sydney CouncilNorthern Beaches CouncilOberon CouncilPort Stephens CouncilQueanbeyan-Palerang Regional 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 CouncilWoollahra Municipal CouncilYass Valley CouncilEmail(Required) Phone(Required)CONFERENCEWill you be attending both days of the conference?(Required)YesNoThursday 20th and Friday 21st August 2026If not, which day will you be attending?(Required)Thursday OnlyFriday OnlyBREAKOUT SESSIONS (no breakouts on Friday, Thursday only)Please indicate which Breakout Session you would like to attend on Day 1, Thursday 20th August:(Required) BREAKOUT SESSION 1: Cyber/AI BREAKOUT SESSION 2: Project Management Cyber/AI: Session 1 Hear how Sutherland Shire Council has gone about its journey in introducing AI into its operations. What has worked well and where they could have done better. Also learn what else is impacting in the Cyber and AI space and how it may impact on local government. Project Management: Session 2 We have two great project management stories to share. One involves a council during the early phases of a Resource Recovery Facility redevelopment project (Maitland) and the other is able to share lessons learned from completing a major refit of their flood prone community assets (Tweed Shire).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 20th August at The Sofitel WentworthPRE CONFERENCE EVENTWe will be hosting a Mutual Introduction Session on the 19th August, will you be attending?(Required)YesNoTime 1:30pm - 4:30pm. Venue: Sydney MARSH Office BarangarooWe will be hosting Pre-conference Networking Event on the 19th August, will you be attending?(Required)YesNoTime 5:30pm - 7:30pm. Venue: Sofitel Wentworth BarDIETARY 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 10th August 2026, or you do not show up, you will be invoiced the full amount of $990 (inc GST) for the 2 day conference and $250 (inc GST) for the dinner.(Required) I have read and agree to the Payment Terms & Conditions