2025 VPAC ANNUAL REGISTRATION FORM

$35 Annual Registration Fee per student. Insert student name Reference payee BSB: 533 000 Account: 32815733 Account Name: Mrs Alison T Launt*
ANNUAL REGISTRATION FEE PAYPAL LINK
prevnext( X )
VPAC ANNUAL REGISTRATION FEE PLEASE CHECK BOX ONLY IF PAYING VIA PAYPAL
$35.00AUD

Total

$0.00AUD

Parent / caregiver/ Guardian *

First NameLast Name
Parent email address *
example@example.com
PARENT / GUARDIAN ADDRESS *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
parent Phone Number*
Please enter a valid phone number.
Name Relationship Emergency Contact *

Full name Relationship
   MEDIA RELEASE FORM:
PLEASE SELECT THE OPTION BELOW THAT BEST SUITS YOU.
I ACKNOWLEDGE AND CONSENT TO ALLOW VALLEY PERFORMING ARTS CENTRE TO USE PHOTO'S AND/OR VIDEOS OF MY CHILD/MYSELF IN PUBLICATIONS AND ADVERTISEMENTS (SUCH AS NEWSPAPERS OR ONLINE ADS) OUR STUDIO WEBSITE, OR IN SOCIAL MEDIA SITES (SUCH AS THE STUDIO'S FACEBOOK AND INSTAGRAM ACCOUNTS).
I UNDERSTAND THAT IN SOME CASES, MY CHILD AND/OR MY NAME MAY BE USED
I UNDERSTAND NO FINANCIAL COMPENSATION WILL BE FOR USE IN THESE PHOTO'S/VIDEOS
PLEASE SELECT ONE OF THE BELOW OPT   *   IONS:
Best Contact number *
Please enter a valid phone number.
Should be Empty: