Master Information FIRST NAME: * FAMILY NAME: * MOBILE: * EMAIL: * ARE YOU 18 YEARS OLD OR OLDER? * YES NO Please enter your age, your guardian's name and their relationship to you. YOUR AGE: GUARDIAN: RELATIONSHIP: NEXT > CHOOSE THE COURSE YOU WILL ATTEND: * Select Jan 11-19, 2020 Geelong - AUD169/night Feb 22-Mar 1, 2020 Wellington - NZD160/night Mar 14-22, 2020 Taradale - Various options available upon application May 2-10, 2020 Geelong - AUD164/night Jul 11-19, 2020 Orlando - See USA IAC forms for room-rate details Aug 8-16, 2020 Wellington - NZD160/night Aug 22-30, 2020 Ballarat - AUD152/night (2 Beds), AUD142/night (1 Bed) Sep 19-27, 2020 Geelong - AUD164/night Nov 7-15, 2020 Taradale - Various options available upon application Dec 12-20, 2020 Wellington - NZD165/night OTHER - write in COMMENTS below Note: All room-rates are for up to 2 people unless otherwise indicated. Refer to PDF Accommodation Forms for detailed venue information. ARRIVAL DATE: * DEPARTURE DATE: * I WOULD LIKE A: * Single Room (One queen bed) Double Room (Two beds) ROOMMATE'S NAME / COMMENTS: Cancellations within 5 days of arrival will incur a hotel cancellation fee of 1 night’s accommodation. The hotel requires a credit card to reserve your room. Use the same Card as Application: * Yes No CARD NUMBER: * EXPIRATION DATE: * CVV: * CARDHOLDER'S NAME: * SEND ACCOMMODATION REQUEST < BACK