Boss Registration

On completing this registration an automatic email notification
will be issued to the Boss and the Sheriff.

* required fields
Please enter your Boss' details 
Title
(Mr, Mrs etc.)*		 First Name* Initials
(If Any) 		Surname*
Job title*
Boss's Email*

Address 
Organisation*
Address*
State*
Post code*
Phone* ( )  
Fax ( )  
Mobile

Please enter your details (the Sheriff) 
Title*
(Mr, Mrs etc.)		 First Name* Initials
(If Any) 		Surname*
Your Email*
Phone* ( )  
Mobile


The Kit will be sent to you - 'The Sheriff' at the above address

To unlock the secure pages of the website and access LOCK UP YOUR BOSS tools you will need a password. Please enter a password below (twice to be sure) and remember it. The password is case sensitive and limited to 10 characters or digits.

Password
Password* Confirm Password*


To help us to determine the effectiveness of our campaign we would appreciate you answering the following two questions:

1. Did you take part last year?
Yes
No

2. Where did you hear about LOCK UP YOUR BOSS?
Newspaper
Radio
TV
Cinema
Word of Mouth
Web ads
E-card
Internal communications
Poster
Avant Card
Other




Lock Up Your Boss is a fun workplace event designed to raise money to support Kids Helpline. Kids Helpline does not support any behaviour that sees any person locked up against their will, unnecessarily embarrassed or humiliated, or that causes them to suffer any physical or emotional distress.

Kids Helpline respects your privacy.
Please visit http://www.lockupyourboss.com.au/privacy.shtml or call 1800 500 101 to obtain full information on our Privacy Policy.
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