Introduction to Indigenous Food & Culture: Registration Form

Please complete this form in order to register to our Introduction to Indigenous Food and Culture program.
The information you provide will be treated as confidential.

*The timetable may subject to change.
**Each session will require a minimum of 10 participants to run.

Website: http://kenvale.edu.au/news-events/short_courses/indigenous-food-culture/

Event Address: 38 High Street, Randwick NSW 2031.

Email address *

Which Program Session will you attend? (1st Preference) *

It is a 2-day program and you're required to attend on both days to obtain the PD hours allocated to this program.

Which Program Session will you attend? (2nd Preference) *

It is a 2-day program and you're required to attend on both days to obtain the PD hours allocated to this program.

Which Program Session will you attend? (Optional 3rd Preference)

It is a 2-day program and you're required to attend on both days to obtain the PD hours allocated to this program.

Title *

Mrs

Other:

First and Last Name *

Your answer

School You're Teaching at *

Your answer

Email *

Your answer

Address *

Your answer

Mobile Phone Number *

Your answer

Any dietary requirements? *

None

Pescatarian

Vegetarian

Vegan

Kosher

Gluten-free

Lactose-free

Other:

Required

There will be a photographer taking photos on the day, please notify us if you would like to be excluded from photographs: *

I accept that some photographs may be taken and used for Kenvale marketing purposes

I do not wish that any photographs taken to be used for Kenvale marketing purposes

Required

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