Stage 2 PE Online Workshops

Full Name:

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Email Address:

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Mobile Number:

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School/Organisation:

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I would like to register for:

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Are you an ACHPER member?

	Yes (1 session $75/Both sessions $120)
	No (1 session $100/Both sessions $175)
	No but I would like to become a member (+$140)

Required

An invoice will be sent to you once you have submitted this form - please allow 2 business days.

The Australian Council for Health, Physical Education and Recreation South Australian Branch Incorporated