Individual Registration

Completed registrations will receive a confirmation email.

Secure Payments by: Secure payments by Visa, Mastercard, American Express and PayPal

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First Name *

Last Name *

Main Salesian Affiliation *

If other, or multiple affilations, list here

Address *

Suburb *

Postcode *

State *

Email *

Name of Emergency Contact *

Emergency Contact Numbers *

Dietary Requirements

Comments

Amount

Payment Method *

Creditcard payment Paypal Payment via School or Invoice
(by prior arrangement only)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*