Register

Which course are you registering for?*
Name*
First Last
Gender*
Age*
- 15-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
Date of Birth*
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander?*
- Aboriginal
- Torres Strait Islander
- Neither
Country of Birth*
Main Language Spoken at Home*
Is your partner attending?
- Yes
Partner's Name
First Last
Partners Gender*
Partner's Age*
- 15-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
Partner's Date of Birth*
DD slash MM slash YYYY
Does your partner identify as Aboriginal or Torres Strait Islander?*
- Aboriginal
- Torres Strait Islander
- Neither
Partner's Country of Birth*
Partner's Main Language Spoken at Home*
Residential Address*
Street Address Address Line 2 City State Post Code
This is also my postal address*
- Yes
- No
Postal Address
Street Address Address Line 2 City State Post Code
Mobile
Landline
Email*
How did you hear about the course?*

Ages of Children/Grandchildren*

Knowing the ages of children in your care helps us to tailor the course to suit this age group.

Do you require childcare? (where advertised as available)
if so please give names and ages of children
Course Fees - Online*
(select which applies to you)
- Individual - $50
- Couple - $70
- Individual (concession) - $30
- Couple (concession) - $50
- Individual (sponsored) - $0
- Couple (sponsored) - $0
Course Fees - Whalan, Mt Druitt*
(select which applies to you)
- Individual - $20
- Couple - $40
- Individual (sponsored)
- Couple (sponsored)
Course Fees - Bendigo, VIC*
(select which applies to you)
- Individual - $50
- Couple - $80
- Individual (concession)
- Couple (concession)
Course Fees - Wagga, NSW*
(select which applies to you)
- Individual - $30
- Couple - $50
Course Fees - Face to Face*
(select which applies to you)
- Individual - $80
- Couple - $110
- Individual (concession) - $30
- Couple (concession) - $50
- Individual (sponsored) - $0
- Couple (sponsored) - $0
Course Fees - Sponsored Course*
(select which applies to you)
- Individual - $0 (sponsored course)
- Couple - $0 (sponsored course)
Payment*
- I'd like to pay via direct deposit
- I'd like to set up a payment plan
- N/A - I don't need to pay because this course/I am sponsored
You can make your payment into the following account:
Fusion Training BSB: 037-012 A/c: 110679
*Please use FC followed by your surname as payment reference E.g. FCDavidson

We will send a receipt when your payment has been received
You can make your payment into the following account:
South Wagga Anglican Church BSB: 702389 Account Number: 05202527
*Please use FC followed by your surname as payment reference E.g. FCDavidson

We will send a receipt when your payment has been received
We will be in touch with you after your registration to arrange payment.
You can make your payment into the following account:
Fusion Training BSB: 037-012 A/c: 110679
*Please use FC followed by your surname as payment reference E.g. FCDavidson

We will send a receipt when your payment has been received
You can make your payment into the following account:
Account Name: Fusion Mornington BSB: 033-243 Account Number: 390462
*Please use FC followed by your surname as payment reference E.g. FCDavidson

We will send a receipt when your payment has been received
You can make your payment into the following account:
Account Name: Fusion Bendigo BSB: 033 688 Account Number: 226032
We will send a receipt when your payment has been received
You can make your payment into the following account:
Account Name: Fusion Bendigo BSB: 033 688 Account Number: 226032
We will send a receipt when your payment has been received
You can make your payment into the following account:
Account Name: Fusion Australia BSB: 112-879 Account Number: 054 789 932
We will send a receipt when your payment has been received
You can make your payment into the following account:
Account Name: Fusion Australia BSB: 112-879 Account Number: 054 789 932
We will send a receipt when your payment has been received
We will be in touch shortly to discuss payment plan options.
Total
$ 0.00

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