Registration Form
To register for our training on March 16th 2019, please fill in this form. Computers are easier to use than phones for this format.

To pay for this event which includes practical training and lunch, direct deposit your $25 into the following bank account before March 6th. Please email your receipt of payment to
You can contact this email address for any other questions regarding the event as well.

For the reference use: PPS Your surname
Account name: Elliot Springs WMC
BSB: 034 212
Account: 507706

-Water bottle & takeaway coffee mug (waste reduction!)
-Some pocket money to join in the silent auction
-Your glass jar & contents if you have been doing other fundraising for us

1. What is your first and surname? *
Your answer
2. Can you attend? *
3. Do you have any mobility needs or visual needs for during the sessions?
Your answer
4. Do you have any special dietary requirements? Please answer 'no' or 'your dietary requirement'.
Your answer
5. Please add your email address or mobile number in case we need to contact you regarding this event.
Your answer
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