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2021 Open Day Registration Form
Thank you for registering your interest in attending Mercy Regional College Open Day 2021.
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* Indicates required question
Email
*
Your email
Student's Name
*
Your answer
Current Year Level
*
Your answer
Current School
*
St Patrick's Primary School
St Thomas' Primary School
St Colman's Primary School
Cobden Primary School
Simpson Primary School
Mortlake College P-12
Lismore Primary School
Camperdown College
Noorat Primary School
Derrinallum College
Timboon P-12 School
Other:
Required
Parent/Guardian 1 Name
*
Your answer
Parent/Guardian 1 Email Address
*
Your answer
Parent/Guardian 1 Mobile Number
*
Your answer
Parent/Guardian 2 Name
*
Your answer
Parent/Guardian 2 Email Address
*
Your answer
Parent/Guardian 2 Mobile Number
*
Your answer
Student's Home Address
*
Your answer
Do you have other children who attend Mercy Regional College?
*
Yes
No
If yes, please list names and year levels:
*
Your answer
Which campus are you planning to attend on the Open Day? (Please refer to the College website to view the activities that will be available at both campuses)
*
McAuley Senior Campus, Camperdown (Years 9-12)
O'Keeffe Junior Campus, Noorat (Years 7-8)
Both campuses
Where did you hear about our Open Day?
*
Flyer/Banner
Town signage
Radio
Newsletter
Friend
Social Media
The Standard Newspaper
The Colac Herald
Camperdown Chronicle
Cobden Timboon Coast Times
Terang Express
Mortlake Dispatch
Other:
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