Student Conference 2020

Student Conference 2021

July 1st - 2nd
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 *

Yes No
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
Running Total $

Payment
Total $

prev next ( 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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Student Conference 2021