Workshop RegistrationYou can now register for multiple PL sessions in one form! Please note you may be photographed at DATTA Vic events. Please alert staff on the day if you do not wish your image to be used. DATTA Vic member? - None -YesNoStudent/CRT Select the workshop you wish to attend * PL1834 VCE PD&T Student Exam Prep at Swinburne, 22nd Sept PL1855 GIRL POWER, 10th Oct PL1838 Student Exam Prep, Wangaratta, 15th Oct PL1858 SW Region D&T Group, Lake Bolac, 18th Oct PL1859 Systems Engineering Student Exam Prep, 19th Oct PL1833 PD&T Student Exam Prep, Geelong, 25th Oct Notes/Number and names of participants attending (if applicable) Personal Details First Name * Surname * Email Address * Confirm Email Address * Mobile Phone * Year levels taught * Prep - 4 5 - 6 7 - 8 9 - 10 VCE VET VCAL Areas taught * Auto Jewellery Metal Textiles Electronics Mech Systems Plastic Wood Systems Engineering Other... Areas taught Other... Dietary Requirements * None Vegetarian Vegan Gluten Free Other... Dietary Requirements Other... Organisation Details School / Organisation * Campus Postal Address * Town / Suburb * State * - Select -VictoriaACTNSWNTQLDSATASWA Postcode * School Type * - Select -GovernmentCatholicIndependentSpecial LGA Area: * - Select -BarwonBayside PeninsulaBrimbankCentral HighlandsGoulburnHume MorelandInner Eastern MelbourneInner GippslandLoddon CampaspeMalleeMeltonNorth Eastern MelbourneOuter Eastern MelbourneOuter GippslandOvens MurraySouthern MelbourneWestern DistrictWestern MelbourneTASMANIAOther... LGA Area: Other... Region * - Select -North-EasternNorth-WesternSouth-EasternSouth-Western Locale * - Select -Melbourne MetroRural/Regional Payment DetailsABN 97 315 356 383. If you experience problems submitting this form please print, scan and email to pl@datta.vic.edu.au. DATTA Vic Cancellations and Refunds: DATTA Vic will refund the full fee if you cancel 7 or more working days before a workshop, seminar or conference. We will charge 50% of the fee if you cancel 1 to 6 days before the event, unless a medical certificate is provided. I am paying by * Invoice me Please note there is a 2% transaction fee for all card payments. Please provide a contact name and phone number for CC payment. Purchase order number Accounts contact * Accounts email * NotesAll DATTA Vic events are photographed, and the resultant images are used for promotional purposes on our website, newsletters and mailouts. Should you not wish for your photograph to be used, please contact Laura at pl@datta.vic.edu.au.