Centre Name
Program Name
Term
Program Type
Coordinator
Coordinator Phone
Coordinator Email
Deliverer
Deliverer Qualification
Deliverer Email
PGA Member Number
Trainee Member Id
Additional Deliverer
Additional Deliverer Qualification
Additional Deliverer Email
PGA Member Number
Trainee Member Id
Session Time
until
Registration Cut-Off Date
Clinic Max Size
Additional Information
Total Program Cost (excludes the pack)
$
Day of the Week (select at least one)
Please select if sessions can be chosen during the week e.g. school holiday program

Start and End Dates
until
School Kit Subsidisation Fee (inclusive in the cost)
Number of Sessions (auto-computed based on day & dates)
All Session Dates
 
 
Please see fields with asterisks and marked red.