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Full Day Professional Development Event Registration Form Professional Development Day you’ll be attending:____________________ Name:___________________________ Phone:_________________________ Address:____________________________________________________ ____ Email:______________________________________________________ _____ School:_____________________________________________________ _____ Emergency Contact:_______________ Phone:_________________________ Food intolerances? ________________________________________________

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Page 1: starletcreativeindustries.files.wordpress.com  · Web viewYou can choose to pay for your PD day using . Paypal. on the Website or directly to Starlet Creative Industries. Acc: Starlet

Full Day Professional Development EventRegistration Form

Professional Development Day you’ll be attending:____________________

Name:___________________________ Phone:_________________________

Address:________________________________________________________

Email:___________________________________________________________

School:__________________________________________________________

Emergency Contact:_______________ Phone:_________________________

Food intolerances?________________________________________________

Additional Comments:_____________________________________________

________________________________________________________________

Signed:_____________________ Date:____________________

You can choose to pay for your PD day using Paypal on the Website or directly to Starlet Creative Industries. Acc: Starlet Creative Industries. BSB:

114-879. Account Number: 432884444

Thank you for being part of this Starlet Creative Industries Professional Development Day. Through your involvement we are able to provide support and assistance to Joining Hands and

Lifeline to help disadvantaged youth and people living in crisis.

Page 2: starletcreativeindustries.files.wordpress.com  · Web viewYou can choose to pay for your PD day using . Paypal. on the Website or directly to Starlet Creative Industries. Acc: Starlet

Consent Form

Name:

Contact Details:

Do you give Starlet Creative Industries consent to use photos and images of yourself, at this PD event, for the use on the Starlet Creative Industries website?___________

Do you give consent for images of yourself to be used in Starlet Creative Industries training & production videos and for quality and coaching purposes?________

Signed:__________________ Date:_____________________

Thank you for being part of this Starlet Creative Industries Professional Development Day. Through your involvement we are able to provide support and assistance to Joining Hands and

Lifeline to help disadvantaged youth and people living in crisis.