Individual Registration

Please enter information in the form below to process registration for event:

Getting Personal: Amplifying Learner Agency

Delegate Information:

First Name *

Last Name *

Phone

Email *

Special Dietary Requirements

School Information:

School Name *

Suburb *

State *

Country *

Phone *

School Email *

Comment

Accounts Payable Contact Name *

Accounts Payable Email *

Purchase Order Number

Payment Information

Amount

Tax amount

Gross amount

Payment Method *

EFT or School Cheque
A Tax Invoice will be sent to the nominated Accounts Contact Email provided above.
NSW DEC Schools – please provide a Purchase Order above and send the Tax Invoice to Edconnect for processing. Credit Card (Visa or Mastercard)
You will be directed to our PayPal account to securely process your credit card payment.

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

Verification code*

ABN 91 383 086 391
Suzanne Drew
PO Box 456, Round Corner NSW 2158
Email: suzanne@dynamiclearninggroup.com.au

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The Dynamic Learning Group is endorsed to provide the NSW Education Standards Authority (NESA) Registered Professional Development for teachers accredited at Proficient Teacher.

Individual Registration

Getting Personal: Amplifying Learner Agency

Delegate Information:

School Information:

Payment Information

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Inquiry Learning: Getting Personal: Amplifying Learner Agency

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