Personal Information

Title: 

Please Select Mr Ms Miss Mrs Dr Ass Prof Prof

First Name:

    

Last Name:

Email:

Your competition role:

Please Select Regional Round ITC/Semi-Final Championship Round Accompanying Partner

Contact Information

(not required for Partners)

Company Name:

Position Held:

Postal address:

 

State: Please Select ACT NSW NT QLD SA TAS VIC WA Postcode:

 

Day telephone: (include area code)

Mobile:

Partner Affiliation

 

Name of judge accompanied:

    

Special Needs Information

I require disability assistance

Please add your specific requirements below:

 

I have a medical condition or allergy (e.g. penicillin, lactose intolerant, shellfish, etc.)

Please add your specific condition(s) below:

 

I have special non-medical dietary requirements (e.g. vegan, vegetarian, religious)

Please add your specific requirements below:

Catering Information

It will be assumed that you are attending all meals applicable to your judging commitment as follows:

Regional Round: Breakfast, Morning & Afternoon Breaks and Lunch Fri 11 July

ITC/Semi-Final Round: Breakfast, Morning Break and Lunch Sat 12 July

Championship Round: Lunch, Afternoon Break and Reception Sat 12 July

 

You are also invited to attend the following other parts of the event, including meals. Please indicate your attendance:

Friday evening reception

Saturday evening reception

Saturday Chairman's Dinner