Amnesty International School Conference

Join us as the Amnesty International Victorian Schools Conference.

Thursday 28thJuly 2010
9:00am to 3:00pm

Northcote Town Hall
189 High Street
Northcote VIC 3070

Register now

Limited places available - register your school group, school class or as an individual using the form below. Registrations close 22 July.

For enquiries please contact Amber Evangelista, the Schools Network Convener on 03 9412 0700 or vicschools@amnesty.org.au.

Names can be added to your class/group after submitting this form, but please note that conference seats are limited and may book out.

School name:(required)

School phone number:(required)

School fax:(required)

Contact name:(required)

Contact email:(required)

Contact phone:(required)

Contact mobile:

Mailing address:

Type of attendance: (required)

 Amnesty International school group/social justice group
 School class
 Individual

Group name: (required) Teacher name: (If accompanied by teacher) Teacher contact number: (If accompanied by teacher)

Year level: (required)
Subject: (required)
Teacher name: (required) Teacher contact number: (required)

Students attending: (required) Please list students by name and year level, one student per line, as follows:
Jo Bloggs, 8
Greg Smith, 11 (etc)

Past involvement: Your involvement with Amnesty International in the past, if any:

Number of students participating in morning sessions:(required)

Number of students participating in afternoon sessions:(required)

Please list any participant special requirements:

Security code: (required - please enter the text in the image)

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