Cultural Safety Registration
First and Last Name :
*
First Name
Last Name
Date of Workshop:
*
Thursday 17th October 2024 9:30am - 3:00pm (FACE TO FACE)
Friday 7th March 2025 9:30am - 2:30pm (ONLINE)
Friday 11th April 2025 9:30am - 3:00pm (FACE TO FACE)
Friday 16th May 2025 9:30am - 2:30pm (ONLINE)
Friday 27th June 2025 9:30am - 3:00pm (FACE TO FACE)
Ethnicity:
*
E-mail:
*
example@example.com
Organisation / Company:
*
Work Number:
Organisation / Company Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for Attendance?
*
Dietary Requirements
Payment Type:
*
Invoice
Already Paid (press submit to bypass payment)
Card
Email for Invoice:
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Cultural Safety Workshop
$
395.00
AUD
Quantity
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10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
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