Event request form

Thank you for your interest in working with the Kimberley Health Professionals Network (KHPN).

To request support from KHPN, please complete the form below.  If you have any questions, please contact our coordinator at contact@khpn.com.au.

Please note: We require a minimum of 12 weeks notice to provide support to events.

    Will this event be:

    Have you requested support/financial contribution/coordination from other organisations or networks in the region?