Student Conference 2023

Student Conference 2023

January 26th-27th
Family Name*
E-mail*
example@example.com
How many ATI Students would you like to register?
$50 per student and includes lunch and dinner for Thursday and lunch on Friday.
How many Guest Students would you like to register?
$75 per student and includes lunch and dinner for Thursday and lunch on Friday.
Running Total $
Please note that by clicking next, you agree to have a $15 late registration fee automatically applied to your registration total, as the deadline of Dec 1st has now passed. If you do not agree, please contact our office at info@iblp.org.au to discuss.

Student's Details
Student 1

Full name Age
Student 2

Full name Age
Student 3

Full name Age
Student 4

Full name Age
Student 5

Full name Age
Student 6

Full name Age
Student 7

Full name Age
I give permission for any photos taken at this event, that I or my family appear in, to be used for promotional or other publication purposes*

YesNo
Running Total $

Meals

Thursday Lunch and Dinner, and Friday Lunch are included in your registration. Please list any special dietary requirements for our caterer.
Dietary requirements
Please include name of individual with requirements
Please note that accommodation is not included in this program. If you need assistance finding somewhere to stay, please contact our office on 0499 974 876.
Running Total $

Payment
Total $

prevnext( X )
AUD
Once you have submitted your form, you will be directed to Paypal to process your payment for the above total. Please review your form before submission by clicking the button below. You can use the back buttons to return to previous pages to make any necessary changes.

If you have any questions about this form or the payment process, please contact our friendly office staff at info@iblp.org.au or call the office during office hours on Monday, Thursday or Friday 0n (03) 9735 2633.
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