Tibet Lobby Day delegates form - Australia Tibet Council

Name *

First

Last

Age *

Gender *

Email *

Community *

Phone *

You are required to join an instant messaging group for Tibet Lobby Day 2025 on WhatsApp. This information is not shared.

Which of the following online trainings can you attend? *

Thursday 21 August 7 pm - 8.30 pm
Thursday 28 August 7.30 pm - 9 pm

We strongly recommend attending all online trainings if you are committed to attending Tibet Lobby Day.

Will you be able to attend meeting(s) on Tuesday 2 September 2025 for Day 2 of Tibet Lobby Day 2025? *

Would you be interested in speaking with Media?

Yes, I would be interested in speaking with Media

We will select a few delegates for media engagement. You will receive training and mentorship during the in-person training sessions in Canberra.

Do you have personal connections to any of the issues we will discuss during Tibet Lobby Day 2025?

The Dalai Lama's future reincarnation (religous freedom)
China's Transnational Repression of Tibetans world wide but importantly in Australia
Returning China to the negotiating table with the Dalai Lama

Write a short Bio about yourself in no more than two paragraphs.

Here is an example:

Attach a photo *

Click or drag a file to this area to upload.

Please note this will be used for Tibet Lobby Day promotion in emails and social media, like the image above.

Which night(s) will you need accomodation for? *

Saturday 30 August 2025
Sunday 31 August 2025
Monday 1 September 2025
I won't need accomodation in Canberra

Tick the night(s) for which you will need accomodation in Canberra

Consent

Please note that regardless of the permission shared on this form, you maintain full authority over the use of your images/videos. Privacy and remaining sensitive is a priority of Australia Tibet Council at all times.

Please email us at tibet.council@atc.org.au if you are unable to provide information and/or appear in images/videos for safety reasons.

Australia Tibet Council will take photographs, videos, and/or audio recordings of you during your participation in Tibet Lobby Day 2025 for the following purposes:

• Promotional materials (e.g. brochures, posters, reports)
• Social media posts and website content
• Media releases, interviews, and news coverage
• Documentation and evaluation of the project
• Reporting to funders and stakeholders
• Archival and future reference for similar programs

This may also include the use of your name, in association with the project.

Please indicate your consent by selecting below:

Permission to Use Images, Video, Audio & Professional Information

YES, I give permission for Australia Tibet Council to take and use photographs, video, audio recordings, and information (name) for the purposes described above.
NO, I do not give permission for media or professional information to be used.

interested Which Use

Signature *

Write Full Name

Date of signature *

Tibet Lobby Day 2025 – Delegates Form

Consent