Southern Ports' Festive Auslan Choir Form

Registration Form

The Auslan workshops will run across an 8 week period.
The workshop dates are as follows:

Week 1 Monday 23rd October
Week 2 Monday 30th October
Week 3 Monday 6th November
Week 4 Monday 13th November
Week 5 Monday 20th November
Week 6 Monday 27th November
Week 7 Monday 4th December
Week 8 Monday 11th December

All workshops will operate out of the Eaton Recreation Centre Meeting Room from 4:30pm-5:30pm

Performance date: 16th December 2023 - Burekup Oval

Full Name*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:

Mobile*

Email address*

Do you have any AUSLAN experience?

YesNo

Have you participated in any of The Southern Ports Auslan Choir Events previously?

YesNo

Emergency contact person*

Contact number*

Relationship

Being a part of the Southern Ports Festive Choir means: Attending all 8 sessions notifying Shire Place and Community Officer if you are unable to attend a session or wish to withdraw. Attending and performing with the Choir as part of the pre-movie performance on Saturday 16 December at Movies by Moonlight - Burekup*

I acknowledge and agree to the above

I give permission for photographs of the registered participant/s to be used by the Shire of Dardanup, Kelly Hope and Southern Port's for publicity and promotional purposes

YesNo

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image

I'm looking for...

Southern Ports' Festive Auslan Choir Form

Registration Form

Administration Centre

Dardanup Office

Today's Fire Danger Ratings