ONLINE REGISTRATION: KMEIA NSW Musicianship/Composition Workshop
Tuesday 10 - Friday 13 July 2018 Barker College
Please complete the form below to REGISTER for the above course.
Student Details
Student's First Name *
Your answer
Student's Surname *
Your answer
Student's School *
Your answer
Student's School Year *
Parent/Guardian Details
Name *
Your answer
Telephone (mobile preferred) *
Your answer
Email address - please fill in the one you use the most so we can update you regarding your registration and requirements for the course *
Your answer
Does the student have any medical conditions we should be aware of?
Medical Information
Your answer
PAYMENT OPTIONS: Payment should be received by 3/7/2018
Please choose one of the payment options below: *
KMEIA NSW Inc. reserves the right to cancel the Workshop if the minimum number of participants is not achieved, in which case full refunds will be made
No refunds will be given to cancellations made after 3/7/2018
All cancellations made before 3/7/2018 will incur an administration fee of $25.
Thank you!
Please check the information you are about to submit is correct then click SUBMIT. KMEIA NSW will contact you shortly regarding your registration.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service