Teacher's Pass Membership Form

Teacher's Pass Membership Form
Thank you for your interest in our HOTA Teachers Pass Membership. Please read the eligibility guidelines (below) prior to submission.

Membership Terms and Conditions and FAQs are on the HOTA Website.
Name*

First NameLast Name
Work email (no personal emails please)*
example@example.com
Phone Number*
Please enter a valid phone number.
School/Institution of employment*
Please use full school name
Role/Position (include your subject area/s)*
How many years have you been in this position?*
Year levels taught*

Early yearsLower Primary (P-3)Upper Primary (4-6)Junior Secondary (7-9)Senior Secondary (10-12)Tertiary
Please tell us why you believe access to Arts Education is valuable (25 words or less):*
Do you consent to your above response being used for marketing purposes from time to time to promote the value of Arts Education? Your name and school will not be used, just your position/role.*

YesNo
How often do you visit HOTA in your leisure time? *
How frequently do you visit HOTA with school excursions? *
Do you consent to educational related marketing emails?*

YESNO
Indicate preferred t-shirt size: *
eg. S, M, L
Would you prefer to pick up your shirt from HOTA, or have it posted? If you live within 30kms of HOTA please consider pick up where possible.*

PICK UPPOST
If you would prefer it POSTED, please provide your mailing address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
To finalise your application, please email hotaeducation@experiencegoldcoast.com from your work account with your signature to verify you are employed in the Education sector.

Please include the title 'HOTA Teacher's Membership Verification'.
Should be Empty:

Teacher's Pass Membership Form

Thank you for your interest in our HOTA Teachers Pass Membership. Please read the eligibility guidelines (below) prior to submission.