Amnesty International School Conference

Join us as the Amnesty International Victorian Schools Conference.

Friday 31st August 2012
10:00am to 2:00pm

Coburg Town Hall
90 Bell St
Coburg VIC 3058

Register now

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

For enquiries please contact Courtney, 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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