Personal Details First Name * Surname * Organisation * Email Address * Confirm Email Address * Contact number * State * - Select -ACTNSWNTQLDSATASVICWAInternational School Type * - Select -GovernmentCatholicIndependentSpecial Locality * - Select -MetropolitanRural/Regional Country * Year Levels Taught * F - 6 7 - 10 11-12 Tertiary Accessibility Requirements Conference Registration DATTA Vic Member? * Yes No Not Sure Student Presenter Conditions * By ticking this box, I acknowledge that, if I am not a member, I will be invoiced at the non-members' rate Group Discount Please tick this box if more than one teacher from a member school will be registering, as group discounts are available Please tell us their names Please note your colleagues must complete their own registration form. I am booking * Tier 1 - DESIGN DISRUPTION virtual conference, Fri 4 Dec ($149 / $249 / $49) Tier 2 - Receive recordings of DESIGN DISRUPTION sessions ($99 / $199 / $29) DESIGN DISRUPTION 4 Dec - Workshop SelectionIf a workshop does not appear on the list, that means it is full. Contact Sam at firstname.lastname@example.org to be placed on the waiting list Session 1 * - Select -1. Design Innovation in the NGV Collection2. Titomic - the Future of Rapid Prototyping3. Game Changers & Change Makers - Design Can Lead the Way4. The Covid-19 Face Mask Challenge 1pm - 2pm Session 2 * - Select -5. Designed by Nature - STEM & Biomimicry at RBG6. Addressing the Climate Crisis through Sustainable Design7. Drones and STEM8. A 3D Printing STEM Program for Middle Years 2pm - 3pm Session 3 * - Select -9. Design Thinking & Community Collaboration for Textiles10. SuniTAFE SMART Farm - the Future of Farming & New Technologies11. CAD for 2D & 3D Design12. New to Technologies Teaching - Years 7-10 & VCE Systems Engineering 3pm - 4pm MAKERSPACE 5 Dec - Masterclass SelectionIf a masterclass does not appear on the list, that means it is full. Contact Sam at email@example.com to be placed on the waiting list Makerspace Masterclass sessions * - Select -1.From Forest to Furniture, Bowmans Forest Wangaratta2. Jewellery Making Masterclass - Telling Stories in Silver, Templestowe3. Merino Masterclass - From Sheep to Sweater, Bendigo Region4. Emerging Technologies Taster Day, Geelong5. Engineering Drawing Masterclass, Greensborough6. Advanced Manufacturing Masterclass, Clayton7. Renewable Energies Masterclass, Morwell, Gipplsland8. Textiles & Contemporary Art Masterclass, Melbourne9. Project Lead the Way - a STEM Masterclass, Launceston, Tasmania10. A Visit to the Farm of the Future, Mildura Various times TBC Payment DetailsBy submitting this form, you agree to DATTA's terms and conditions. DATTA Cancellations and Refund Policy - DATTA will refund the full fee less an administration cost if you cancel before 20 November. If you cancel prior to 27 November, you will be charged 20% of the registration cost. After this day, 50% of the fee will be charged. If you register but do not attend without cancelling prior to the event you will be charged the full fee unless a medical certificate is provided. (DATTA Vic - ABN 97 315 356 383) I am paying by * School Purchase Order Invoice me for payment via EFT Please do not forget to include your invoice number on any payments! Purchase order number Contact name for payment * Accounts Contact Email * Contact name for personal payment * Email * Personal Billing Address House no. & Street * Suburb * Postcode * Organisation Details Postal Address * Town / Suburb * Postcode * Notes Our sponsors are provided with a list of conference delegates after the event in order to offer our attendees the latest discounts. A photographer may be documenting your sessions at the conference. Please email firstname.lastname@example.org if you do not wish your details to be passed on to exhibitors, or you do not wish to be photographed.