Online Registration

Registration: Level 2 Officiating Course Bundaberg (14-07-2018 08:30 AM - 05:00 PM)

Welcome to the online event registration, you will need to fill in all mandatory fields (those marked with *) and a copy of your working with children (blue) card will need to be uploaded (can be pdf, doc, docx, jpg, jpeg, txt).

 


USER INFORMATION
First Name:
Last Name:
Address:
Address 2:
City:
State:
Post Code:
Email:
Confirm Email:
Mobile Phone:
Membership No.:
Membership Type:
Copy of working with children (blue) card:
 
Blue Card Number:
Please note any special dietary needs:
Age:
Enter the Security Code: