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Conference Registration
Conference Registration
Registration Form
Please fill out the form below to register for the conference. All fields are required unless otherwise indicated.
Personal Information
Title
First Name
Last Name
Mobile Phone Number
Email Address
Confirm Email Address
Dietary Requirements
Special Needs
Are you a STAV Member?
Yes
No
STAV Membership Number
Are you attending/planning to attend STAVCON?
Yes
No
If you're planning to attend and haven't already done so, please register for STAVCON at
http://www.sciencevictoria.com.au/STAVCON.html
Which days of STAVCON are you attending?
None
Thursday
Friday
Both
Will you need a 1 day parking permit for the 27th?
Yes
No
School/Organisation Information
Your Position
School/Organisation
Address Line 1
Address Line 2
City/Suburb
State
Post Code
Business Phone (including area code)
Business Fax (including area code)
School Type
School Region
School Level
Travel Information
Are you travelling from interstate or regional Victoria?
Yes (Interstate)
Yes (Regional)
No
Will you require accommodation?
Yes
No
If you require accommodation, how many nights will you require?
Will your school require Casual Relief Teaching during your absence?
Yes
No
If you require teaching relief, how many units of CRT will your school require?
Submit
Confirm
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