Altitude Day Registration Form

School/Organisation Name: *

Contact Person: *

Position:

Phone Number: *

Fax Number: *

Email: *

Invoice Address

Addressed To: *

Address: *

State: *

Postcode: *

Please Select Your Altitude Day (Year 6)

Altitude Day:

Brisbane Year 6 - 18th March 2010

Darwin Year 6 - 21st April 2010

Adelaide Year 6 - 26th May 2010

Please Select Your Altitude Day (Year 9)

Altitude Day:

Darwin Year 9 - 22nd April 2010

Sunshine Coast Year 9 - 17th May 2010

Brisbane Year 9 - 18th May 2010 (event one maximum 500 seats)

Brisbane Year 9 - 19th May 2010

Gold Coast Year 9 - 20th May 2010 (event one maximum 260 seats)

Gold Coast Year 9 - 21st May 2010

Melbourne Year 9 - 25th May 2010

Adelaide Year 9 - 28th May 2010

Sydney Year 9 - 4th June 2010

Please Select Your Altitude Day (Year 11)

Altitude Day:

Darwin Year 11 - 23rd April 2010

Number of places to reserve: *

Invoicing

Invoice: *

I understand an invoice will be generated upon receiving this registration form and sent to my school/organisation.

Comments/Questions:

Altitude Day