2012 Booking Forms - Arts Centre Melbourne - the home of the performing arts in Melbourne

Dig Deep Metro Registration Form

Before you register for Dig Deep please ensure you or your guardian (if you are under 18), have contacted Program Coordinator Dan West on 03 9281 8716 or email youth@artscentremelbourne.com.au

Applicant Information

First Name *

Surname *

Age *

E-Mail *

Phone Number *

Dig Deep Workshop

I want to develop my skills in the following

I am able to commit to attend every Tuesday night between 5 & 8pm at Arts Centre Melbourne's Digital Learning Hub *YesNo

Parent/Guardian Details

If you are under 18 years of age, please complete the below details for your parent/guardian.

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

Referrer Information

If you are referring a young person to this program please complete the details below.

Referrer Name

Referrer Organisation

Referrer Contact Number

Referrer Email

I have read and agree to the booking terms and conditions *

All offers are subject to availability. Arts Centre Melbourne reserves the right to vary arrangements as necessary.
Preserving your privacy is important to us. A copy of our privacy statement is available at artscentremelbourne.com.au/privacy or by ringing 03 9281 8000.

the Arts Centre

Applicant Information

Dig Deep Workshop

Parent/Guardian Details

Referrer Information