COTA Queensland | User Registration

Register to Follow Seniors Social Isolation Prevention Hub

Stay up to date – register for the Seniors Social Isolation Prevention Hub and receive a short email alert when content is added to the Hub.

First Name*

Last Name*

Email*

Password*

Password strength requirements: minimum 16 characters, at least one uppercase letter, one lowercase letter, one number and one special character. Special characters include ! @ # $ % ^ & * .

Confirm Password*

Screen Name*

Show screen name in forum/mapping/commenting tools etc.

(Please check this box if you wish to display your screen name instead of your full name on your published comments and contributions.)

Phone

Business / Organisation Name

Gender*

Male

Female

Other

Age*

Agreement to receive communications, project updates and information from COTA Queensland

Register to follow the Seniors Social Isolation Prevention Hub abd receive a short email when content is added to the Hub.

Role*

Once submitted:

Confirm your account via the email we send (check Junk/Spam)
Visit the Seniors Social Isolation Prevention Hub
Click Follow Project button to start receiving updates

I have read and accept the terms & conditions*

Cancel