Mayor’s Lights Out Sleepout 2025 – sleeper registration form

Mayor's Lights Out Sleepout – sleeper registration form

6pm Friday 8 August to 8am Saturday 9 August

This is a registration form to sleep out overnight as part of Mayor Bilal El-Hayek’s fundraiser to tackle homelessness at Belmore Oval, Belmore Sports Ground from 6pm Friday 8 August to 8am Saturday 9 August. Please only submit this form if you intend to sleep outside on the night.

To find out how else you can support this event, please visit cb.city/MayorsSleepout2025

First name *

Last name *

Email address *

Phone number *

Suburb *

Post code *

Gender *

FemaleMale Other

Do you have any food allergies? All meals provided on the night will be halal vegetarian. *

No Yes

Please provide the details of your food allergy. *

Do you have any medical conditions we need to be aware of for this event? *

No Yes

Please provide the details of your medical condition. *

Emergency contact name *

Emergency contact phone number *

I will be fundraising on behalf of *

Mission Australia Maronites on Mission Australia Brothers in Need

Do you have any accessibility requirements? (e.g. do you require wheelchair access?) *

No Yes

Please specify your accessibility needs *

Please ensure you have read and agree with all the following check boxes before submitting this form.

I agree that I will bring the necessary items to sleep outside overnight including a sleeping bag, sleeping mat, blanket, beanie etc. *

I confirm that I am over 18 years old. *

I confirm that I am physically able to sleep outside overnight. *

Privacy Notice

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.

I agree *