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2009 ACHPER Health and Physical Education Conference

Download a copy of the 2009 Conference Brochure and Program (opens in a new window).

Registration

I wish to register for the conference on Thursday 26 and Friday 27 November 2009, Monash University, Clayton.

ACHPER Victorian Branch ABN: 23 911 016 643

Title

First name

Surname

Conference registration cost

Standard registration	ACHPER member: $275.00 (including GST) Non-ACHPER member: $395.00 (including GST)
Presenters	ACHPER member: $185.00 (including GST) Non-ACHPER member: $300.00 (including GST)
Graduating Student	ACHPER member: $130.00 (including GST) Non-ACHPER member: $175.00 (including GST)

ACHPER does not have school membership. Only individual teachers and other professionals are eligible for membership.
If you are paying at the non-member rate of $395.00, a complimentary membership of ACHPER is included as part of that fee. Should you wish to accept this complimentary membership, please complete the membership information at the bottom of this form.
Note: For those who have already forwarded a preliminary registration, it is not necessary to complete this registration form. A
personalised brochure with the elective selection sheet will be forwarded directly to you.

School Order Number

(Note: online registration will not be accepted unless an official school order number is provided)

School Name

Mailing Address

Suburb or City

Postcode

This is my home address

School Telephone

Fax

Email (for confirmation
and further information)

Mobile Phone number if you would like to receive SMS alerts and information throughout the conference. Mobile numbers will be deleted after the conference. (This promotion is supported by REDTXT.com.au)

School Type

Government Independent Catholic Other

School Level

Early Years (P–4) Middle Years (5–9) Later Years (10–12) VCE/VET

Age range (optional)

20 – 29 30 – 39 40 – 49 50+

I wish to attend light breakfast on Friday 8.15 to 9.00 am Yes No

Please identify special dietary requirements

No Special Requirements
Vegetarian
Other (Specify)

To register now, please click on the Send registration form button to send your registration to ACHPER Victoria.
If you are registering at the non-member rate of $395.00, a complimentary membership of ACHPER is included as part of that fee. Should you wish to accept this complimentary membership, please complete the membership information below, and click on the Send registration form and membership application button at the bottom of this page.

Application for Complimentary Membership for non-members of ACHPER

If you are not an ACHPER member, and you wish to accept the offer of complimentary membership, please complete the following membership information before sending this form. Membership is complimentary with the $385.00 conference fee and receipt of this membership application. Membership is effective from 1st November for 12 months and can be claimed as a tax deduction. Members will be forwarded a membership card as an official receipt.

Title

Given name

Surname

Postal Address

Suburb or City

Postcode

Telephone (AH)

Telephone (BH)

Mobile

Membership Category

See our membership page
for membership criteria
and options

Full
Joint Spouse (please complete 2 forms)
Non-Working/Retired
Full-time Student (mail or fax enrolment details as confirmation)

	Course
	Institution
	Year first enrolled

Place of employment

Job Title

Qualifications e.g. B.Ed

Principle Areas of Interest

Health Education
Physical Education
Recreation
Dance
Movement Science
Sport
Community Fitness

Area of Involvement
(indicate one only)

Primary Educator
Secondary Educator
Tertiary Educator
Fitness Service Professional
Health Service Professional
Recreation Professional
Administrator
Full-time Student
Other

As part of my ACHPER membership I wish to receive either:

The ACHPER Healthy Lifestyles Journal
or
Active & Healthy Magazine

Achper members are also entitled to subscribe to the following:
Active and Healthy Magazine	$40.00
Australasian Leisure Management	$50.00
The ACHPER Healthy Lifestyle Journal	$43.00

A subscription form for the above may be obtained from ACHPER

Postal Address:  GPO Box 412    Melbourne 3001
Office:   1407 Burke Road    Kew East    3102
Telephone: (03) 9851 6966    Fax: (03) 9851 6163    Email:achper@achper.vic.edu.au
ABN: 23 911 016 643        Registration No. A0000871U