TEST FOR FORM 58

Student Development Workshop 2021

Student Development Workshop Dates*
Please select the date in the area you wish to attend
- Wellington, Fri 11th Jun (10.30am - 12pm - Upper Hutt)
- Private Workshop ($300+GST upto 30 students)
Name of School :*
Number of Students Attending Group Workshop
The price is $100 plus GST for up to ten students, then $10 plus GST for each additional student.
Please enter a number from 1 to 100.
Workshop Price for one to ten students*
Price:
Private Workshop including GST*
Price:
Workshop Price for each additional student*
Enter in QUANTITY the number of additional students attending (over and above the TEN students covered by the $100 price). For example, if 15 students are attending, enter "quantity" of additional students as 5 (i.e. 15-10=5)
Price: $ 10.00
Total GST Cost*
Price: $ 0.00
Contact Details
Name of Contact Person:*
Contact Person Email Address:*
Name of Attending Teacher/Parent:*
Attending Teacher/Parent Contact Number*
Preferred School Session Time:
- Sometime between 8.45am - 10.45am
- Sometime between 10.45am - 12.45pm
- Sometime after 12.45pm
Rough time you would prefer Brett to run a Jump Jam session with the whole school (subject to his travel schedule).
Payment Details
TOTAL AMOUNT PAYING
$ 0.00

Payment to be deposited by one week prior to workshop 03 0181 0191378 00. Please use your "School Name & SDW" as reference.
Secondary Contact Email Address for Accounts
Notes:
Upon submission of this form, an email confirmation will be sent to the nominated Contact Person. If this email does not arrive in the inbox (or junk mail inbox) within five minutes, please contact us.
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Student Development Workshop 2021

Contact Details

Payment Details