Teacher’s customised course booking request form

School details

Name of school

Email

Teacher's name

School's phone number

Teacher's mobile

School's address

Postcode

Venue details

Where is your workshop to take place?

At NIDA (Kensington Campus NSW) or other address, please provide details

Course details

Customised workshop title

Is there any information you would like to provide us about the anticipated outcomes for this course?

Number of participants

Dates and times

Preferred date(s) for the workshop

Preferred times for the workshop

Does your group require a lunch break? If yes, please list preferred time for the break.

Workshop fee

Duration

• 1.5 hours $360
• 2 hours $465
• 3 hours $695
• 4 hours $870
• 5 hours $955
• 6 hours $1,170
• Other (please quote)

Further information

NIDA will invoice the school with the teachers name listed above as contact. Please provide an alternate contact name below if required.

Is there any information you would like to provide us about the anticipated outcomes for this course?

Terms and conditions

• NIDA requires full payment for your course one week prior to course commencement date.
• NIDA cannot refund the course fees unless we cancel the course.
• If you wish to transfer or withdraw, you must advise us in writing at least two weeks before the start date of the course. We will then issue a credit note for the full value to be used within 12 months. A cancellation fee may apply.

I agree to these terms and conditions

• I agree