CAMPference 2022 - Registration form
Friday 30th September to Sunday 2nd October 2022
KINGLAKE FOREST ADVENTURES CAMP KINGLAKE, VICTORIA

PLEASE COMPLETE THE FORM BELOW

If you have paid for and wish to register another person/s, please enter their name, email and phone number at the bottom of this form. We will get in touch with them to confirm any dietary requirements etc.

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Email *
First Name *
Last Name *
Phone Number *
Your Full Address *
Please indicate which best describes your professional role / area of work (and play!):*
Please check ALL that apply
*
Required
If other, please specify:
What is the name of the school/kindergarten/ organisation you work for?
*
Are there any particular Topics/Areas of Interest you would like covered in the Conference?
We can't guarantee we'll cover your request in the conference content, but we'll definitely do our best! You can always ask us your specific questions you have in person on the day too!
SPECIAL DIETARY REQUIREMENTS OR RELEVANT HEALTH CONDITIONS
Please tell us what they are below or leave blank if not applicable. All details will be kept strictly confidential.  
Please indicate which CAMPference Payment Option you are purchasing:*
*
PAYMENT DETAILS*
Please indicate your payment method so we can track and confirm your payment easily
*
IF YOU WOULD LIKE A TAX INVOICE PLEASE TELL US THE NAME YOU WISH THE TAX INVOICE TO BE MADE OUT TO.
We will generate a Tax Invoice for you and email it to your registered email address. If the Tax Invoice is for more than one person, please let us know below also.
IF PAYING BY DIRECT DEPOSIT (ELECTRONIC FUNDS TRANSFER) PLEASE USE THE FOLLOWING BANK DETAILS FOR PAYMENT:

Account Name: Stressworks Pty Ltd
BSB: 704-191
ACCOUNT NUMBER: 167411
BANK: Bank First
Ref: Your Surname & First Initial

Please email us your remittance advice to tania@nurtureinnature.com.au and we will send you a tax invoice
IF YOU WISH TO REGISTER ANOTHER PERSON/S ON THIS FORM, PLEASE PROVIDE THEIR NAME, EMAIL AND PHONE NUMBER BELOW

THANK YOU FOR PROVIDING YOUR REGISTRATION DETAILS. PLEASE SUBMIT THIS FORM BY PRESSING THE ‘SUBMIT’ BUTTON BELOW AND WE WILL BE IN TOUCH VIA EMAIL WITH FURTHER DETAILS REGARDING EVENT SPECIFICS.

WE CAN’T WAIT TO SEE YOU AT CAMPference 2022!
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