REGISTRATION FORM

A one-day workshop for SECONDARYschool teachers:
‘Helping Students Achieve their Academic Potential:
BEHAVIOUR MANAGEMENT & STUDY SKILLS'

Monday 10th November, Penrith RSL Club, 8.45am for a 9am start to 3pm

Fee: $197 per person including GST for Early Bird Registrations only

Fee includes morning tea, lunch and course materials.

Note: You can use this form to register up to 4 teachers at your school.

SCHOOL NAME:

SCHOOL ADDRESS:

PHONE:     FAX:

Name:
 Email Address
(please enter carefully, details
about the day will be sent to this address): 		Subjects Taught/
Positions of responsibility
(eg Maths, Yr 7 Coord) 		Any Special
Dietary
Requirements
1.
     
2.
     
3.
     
4.

 

CODE (if applicable):

We will send you an invoice on receipt of this registration as payment needs to be received prior to the day.
If there is a specific person the invoice should be forwarded to please fill in their name below:

Person to send invoice to:

Note: After you hit SEND a confirmation screen should appear.
If this screen does NOT appear then we have not received your registration.
Please contact us if you are unsure.