Course Registration

Street Address:

1063 Lake Road , Bungendore NSW 2621, Australia

Mailing Address:

PO Box 337, Bungendore NSW 2621

+61 2 6238 0588

Name *
Registering for which course? *
Amount due *
Payment method *
If paying by direct deposit, please transfer funds to: Silver Wattle Quaker Centre Ltd Bank BSB 633 000 Account # 141426890
Do you have any food allergies or special dietary needs?
Do you have any health issues we should know about (e.g. seizures, breathing problems, difficulty with mobility)?
Date arriving
Date arriving
Date leaving
Date leaving
Travel arrangements *
Please list your travel details here so we know when to pick you up and drop you off.