Course Registration

Street Address:

1063 Lake Road , Bungendore NSW 2621, Australia

Mailing Address:

PO Box 337, Bungendore NSW 2621

+61 2 6238 0588

Name *
Address *
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 *
If you need a lift from train or airport, please list your travel details here so we know when to pick you up and drop you off. If you are driving type N/A.