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Mentor Registration Form
Conference:
2012 Melbourne Water Kids Teaching Kids Conference
2012 Australia Post Kids Teaching Kids Week
2012 Australia Post Kids Teaching Kids - In School Program
Last Name:
First Name:
Occupation / Area of interest
Company / Organisation:
Email:
Telephone:
Fax:
Address:
Website:
Have you ever worked with children?
Yes
No
If so, where and how?
Do you have a Working with Children Blue card?
Yes
No
If YES, what is your Working with Children registration number?