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AIE CANBERRA
September School Holidays 2009 @ AIE Canberra

Short Courses Application Form

 

Please fill out all fields. If you have any questions, give us a call on 02 6162 5131 or email

* Denotes required fields

Student Given name:*
Student Surname:*
Date of birth:*
Gender:*
Male        Female
Short course you are applying for:*
(7 - 12 Years)
Digital Drawing Junior
      28 & 29 Sept 09
Space Warp
      28 & 29 Sept 09
Trackmania
      28 & 29 Sept 09
Monster Workshop
      1 & 2 Oct 09
Make it your Game
      1 & 2 Oct 09
Digital Cartoon Characters
      1 & 2 Oct 09

(12 - 17 Years)
The Alien Planet
      28 & 29 Sept 09
Scrolling Games
      28 & 29 Sept 09
Trackmania
      1 & 2 Oct 09
Digital Drawing
      1 & 2 Oct 09

(To register for the Study@AIE4aDay, please give us a call or send through an email to register your interest. 6162 5131 or )
Parent Given Name:*
Parent Surname:*
Residential Address:*
Telephone numbers:*
 
Home:
Mobile:
Work:
Email:*
How did you hear about the AIE holiday short courses:*
AIE Website
Google
Friends
School
Other
Name of school your child attends:
Does your child have any medical issues or learning difficulties that AIE should know about:
Do you give AIE permission to include your child in any photos which may be used for promotional purposes such as in email newsletters. Your child will not be identified if they are featured in any promotional material:* Yes       No
Payment Method*
(We'll get in touch with you to organise deposit and/or payment.)
Credit Card
Direct Bank Deposit
Cash or Cheque