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 * PL1821 VCE SYS ENG Units 2 & 4, 24th July PL1822 OH&S in the Technology Classroom, 30th July PL1823 VCE PD&T Teachers' Exam Prep, 13th Aug PL1824 Build your own Infrared, Remote Controlled STEAM Project, 15th Aug PL1853 VCE PD&T Student Exam Prep in Dandenong, 28th Aug PL1852 NE Region D&T Group at GOTAFE, 18th Sept PL1834 VCE PD&T Student Exam Prep at Swinburne, 22nd Sept 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 * Credit card Invoice me Credit card payments will incur a 3% administration fee. For payment please submit this form and call Hannah Wednesday-Friday on 03 9349 1538. Purchase order number Accounts contact * Accounts email *