Conference Registration Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home.About Us.Vision & Purpose.Conferences.Services.Payments.
Cash ONLY balance due at Conference
I will allow my contact details to be given to other people attending the conference.
Conference *
Conference Dates *
Email address *
Your name/s *
Cell phone number *
The non-returnable Registration fee can be paid on the Payments page using either a credit or debit card or through a PayPal account.

Please complete all boxes marked with an * before submitting the form and then make your payment through the Payment page.

This is crucial to your successful registration for the conference.

Mailing address *

Complete all sections of the form then fill in the security word above.  If you cannot make out the word click on the D)) for an audio read out.

 

 

Then click the Submit button below.
 

 

THANK YOU

We look forward to meeting you at the conference.

The registration form then reloads with all the boxes empty - this signifies your registration has been processed.

Conference Fees

Please check the relevant conference information page

for conference fees.


 

 

To protect your details you need to complete the second security page which appears after you have clicked the Submit button.

Children’s Program
Name of child 1*
Name of child 2*
D.o.B.*
D.o.B.*
Name of child 3*
D.o.B.*
Please tell us how you *
 heard about this
conference?
Testing Program
 Please fill in an application form and Submit for each child to
 be tested.
Click to access the Testing Application Form.
30% Non-returnable registration fee paid *

Flyer


Listen to audio CAPTCHA
Yes
No
Conference Fees (Including lunch and snacks)
No. of Adult/s *
No. of Children *
(Children’s Programme)
Totals
Please read the information panels below before clicking the Submit button.
@ US$
Payments
@ US$
@ US$

Cash ONLY balance due at Conference

Child Care  *
(Up to and
including 3 years)
Organisation *