Astronomy WA Challenge Cup 2010

Western Australia's Astronomy & Space Science Community

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Register for the Astronomy WA Challenge Cup

Wednesday 5 May 2010 at Scitech, City West, West Perth.

Please complete the below registration form for each team. Please note each team requires 3 students and 1 teacher and there is a maximum of 2 teams per school.

School details

School name *

Street address *

Suburb * State * Postcode * Region *

Register for the Astronomy WA Challenge Cup

Wednesday 5 May 2010 at Scitech, City West, West Perth.

Contact information

Teacher name *

Position *

Email address *

Phone number *

Fax number

Register for the Astronomy WA Challenge Cup

Wednesday 5 May 2010 at Scitech, City West, West Perth.

Student information

Student 1

First name * Surname * Year Any dietary requirements?

Student 2

First name * Surname Year Any dietary requirements?

Student 3

First name * Surname * Year Any dietary requirements?

Duty of care
I understand that by registering the above students for this event that I will have to organise their transport and supervision to and from the event. I am also aware that duty of care remains with me for the entirety of the event.

I agree to the above statement *

Media clearance
I am aware that each student will require a media clearance form and that this must be provided to Scitech by Wednesday April 28. pdf Download the Media Clearance Form 44.24 Kb

I agree to the above statement

Completed Media Clearance forms can be posted to:

Scitech
PO Box 1155
West Perth
WA 6872

Or faxed to Jeff Harris on 08 9321 2869.

Astronomy WA Cup 2010 registration successful!

Your registration to attend Astronomy WA Challenge Cup 2010 has been received. A copy of your registration has been emailed to your contact email address.

Completed Media Clearance forms can be posted to:

Scitech
PO Box 1155
West Perth
WA 6872

Or faxed to Jeff Harris on 08 9321 2869.

Register for the Astronomy WA Challenge Cup

Register for the Astronomy WA Challenge Cup

Register for the Astronomy WA Challenge Cup

Astronomy WA Cup 2010 registration successful!

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