This field is hidden when viewing the form

Next Steps: Install the User Registration Add-On

This form requires the Gravity Forms User Registration Add-On. Important: Delete this tip before you publish the form.
Name(Required)
Email(Required)
Password(Required)
Student Accommodation(Required)
This field is for validation purposes and should be left unchanged.

Acknowledgement of Country

Baptist Care SA acknowledges we work on the lands of the Kaurna, Peramangk and Boandik people. We respect the ongoing skilful custodianship of lands, skies and waters and the continuous deep cultural connection with Country. We pay respect to Elders and Aboriginal and Torres Strait Islander people from all Countries, Nations and Mobs.

Ngadlu tampinthi Kaurna miyurna yaitya yarta-mathanya Wama. Tarntanyaku, ngadluku piipawarpulayi kuu Kaurna yartangka tikanthi.

(We acknowledge the Kaurna people of the Adelaide Plains as the traditional owners of the land on which our office sits.)

Ngathu putama nhu mraat, mraat Boandikat wulnuwitjara Berrinat ba mraatat mingru Berrin (I recognise this country (is) the country of the Boandik, the custodians of Mt Gambier and the country around Mt Gambier.)