Questacon Smart Skills Initiative
Holiday Workshops
Registration Form
Register now for the Questacon Maker Project Holiday Workshops.
PARTICIPANT’S DETAILS
Given name :
Surname:
Date of birth:
Male
Female
Unspecified
Q Club member number:
ADDRESS DETAILS
Apartment/Unit:
Street number:
Street name:
Suburb/Town:
State:
Postcode:
PARENT/GUARDIAN DETAILS
Name:
Home phone:
Mobile:
Email:
SCHEDULE
I would like to attend the following workshops:
Monday 25/01/2016
Wednesday 27/01/2016
Powering Technologies
3D Design
Thursday 28/01/2016
Friday 29/01/2016
Building Cranes
Simple Subs
Workshops are from 9am – 12pm.
Q Club members $44.00 per participant per workshop (incl. GST). Non Q Club members $55.00 per participant per workshop (incl. GST).
PAYMENT OPTIONS
Credit card options
Credit card number
Visa
Mastercard
AMEX
Diners
Total Cost $
Expiry date (Month/Year)
Cardholder’s name
Cardholder’s signature
Date
This document will be a Tax Invoice for GST purposes upon completion of payment. Please retain a copy of this form for your records. Please note
registration fees are non-refundable. This fee is collected by the Department of Industry and Science as represented by Questacon ABN: 74 599 608 295.
Holiday Workshops
Registration Form
GENERAL INFORMATION
1. How did you or the participant find out about the Workshops?
2. Does the participant currently enjoy making stuff? If yes, what sort of things do they like to make?
3. What do you hope the participant will gain from attending?
Special Requirements
Does the participant have any special requirements or allergies (food or other) that we need to be aware of?
Parent/Guardian Signature
I am aware that my child has registered for the Questacon Maker Project Holiday Workshop and give them permission to attend. I
have read and agree to the Workshop Terms and Conditions, including Questacon’s Privacy Policy.
Parent/Guardian name
Parent/Guardian signature
PARTICIPANT’S SIGNATURE
I have read and agree to the Workshop Terms and Conditions, including Questacon’s Privacy Policy.
Name
Signature
Return your registration form by email, fax or post
Email
bookings@questacon.edu.au
Free
fax
Post
1800 641 171
Questacon – The National Science and Technology Centre, Loc. 940, PO Box 5322, Kingston ACT 2604
Holiday Workshops
terms and conditions
Code of Conduct
1.
Participants must obey all lawful instructions from the
workshop Manager and Support Staff such as (but not limited
to) all reasonable instructions, directions and procedures
relating to work health and safety in operation at our
premises.
2. Participants must not consume alcohol, use illegal
substances, or smoke cigarettes whilst participating in the
workshop in any capacity.
3. Once registered with the Manager, Participants must not
depart from the workshop environment without the approval
of the workshop Manager or the Support Staff.
4. Participants are representing their school, family,
organisation or business and Questacon. No discredit should
be brought to either of the above. Behaviour befitting a
Participant will be required at all times.
5. No disrespect will be tolerated under any circumstances.
6. If Participants have any problems, they are to report them to
the workshop Manager as soon as possible.
7. There is to be:
• Respect for the venue and all property;
• No interference with other people’s property;
• No use of venue telephones and other services (except at
the Participant’s expense);The Participant’s
parent(s)/guardian will be liable for any damage or loss
caused to Questacon’s property and premises resulting from
the Participant’s conduct.
8. Once signed in, Participants must attend all approved
activities unless given permission to do otherwise.
9. Participants agree to wear enclosed footwear and any other
stipulated uniform compliance.
10. Participants agree to demonstrate punctuality as required by
the workshop Manager.
11. Participants are required to take care of their possessions
whilst at the workshop. Questacon will not be held liable for
any loss or damage to Participants’ possessions.
Breaches of any Code of Conduct Rules may lead to immediate
expulsion from the workshop. Should expulsion occur, the Participant’s
parent(s)/guardian will be contacted and appropriate travel
arrangements will be made. Any and all additional expenses incurred
will be the responsibility of the Participant’s parent(s)/guardian.
Consent to apply First Aid
In the event of any emergency, injury or illness, you authorise any
official from Questacon Management Staff in charge of the workshop,
to obtain on your behalf and at your expense, any medical assistance,
treatment and transportation as deemed necessary.
Registration fees, daily registration and transport
Provisions of services and staff need to be booked well in advance and
as such, once the registration fee has been paid this amount will not
be refunded.
For Duty of Care purposes, Participants will be required to register daily for the
programme to ensure that all Participants are accounted for throughout the
day and leave the workshop premises safely.
All transportation to and from the The Ian Potter Foundation Technology
Learning Centre will need to be arranged by the Participants or their
parents/guardians. If you are using public transport please check local
timetables. Please ensure that you arrive 15 minutes prior to the start of first
session to allow for registration. The first session of the day will commence at
9 am. The last session of the day will finish at 12 pm. Please ensure that you
are punctual and arrange your transportation appropriately. More information
about the programme and sessions will be sent to the Participant once the
registration form is received.
Questacon’s privacy obligations
Under the Privacy Act 1988, Questacon is required to have a clearly expressed
and up to date policy about the way Questacon manages personal
information. This policy contains information about how you may access the
personal information Questacon holds about you, and how you may correct
any inaccuracies in that information.
It also includes information as to how you may make a complaint about a
breach of the Act, and how Questacon will respond to such a complaint.
A copy of Questacon’s privacy policy is available on the
Department of Industry and Science website at:
http://www.industry.gov.au/Pages/PrivacyPolicy.aspx
More information about the Privacy Act can be obtained from the
Office of the Australian Information Commissioner’s website at:
www.oaic.gov.au.
Collection and use of your personal information by
Questacon
The information you share as part of the registration process (including
personal, contact, special requirements, dietary and financial details) will only
be used for the purpose of organising Questacon programmes and ensuring
you can safely participate in the programme. Your information and particulars
will not be shared with a third party. All records of your financial information
will be destroyed after your payment for a workshop has been confirmed.
During the workshops, Participants may be asked to fill in surveys or
participate in interviews regarding the workshop. These surveys and
interviews will be anonymous, and will not collect any personal information.
Results from the surveys and interviews will be used for internal assessment
and reporting in relation to the holiday programmes by Questacon, and may
be used for future programme evaluation by Questacon or a third party. As a
Participant, you give permission to Questacon to use the information you
provide in surveys and interviews regarding the workshop for these purposes.
If Questacon seeks to collect, use or disclose personal information from
Participants other than as described above (for example, if Questacon intends
to take photos or video footage in which Participants may be identified),
Questacon will separately notify you of its intention to do so and ask for your
consent for that collection, use and/or disclosure.