Registration form - QTC Clients

Workshop name

Start date

End date

Vaccination Requirements: If your workshop is being held at the UQ Brisbane City campus, you must be fully vaccinated – with an approved TGA vaccine – against COVID-19 or have an approved medical contraindication (exemption). This will not apply to you if your workshop is being delivered virtually/online. All individuals entering the UQ Brisbane City campus will be required to check-in via the QLD Check-in app with their updated vaccination status upon arrival. It is your responsibility to provide proof of vaccination or exemption on entry to staff. If you fail to satisfy the venue entry requirements, no refunds will be offered. Please contact us via 3365 7111 or qtceducation@business.uq.edu.au if you have any questions.

Type of education*

Single workshop

Contact details

Who can we contact about this booking?

Name*

Prefix First Last

Business email*

Business phone*

Mobile*

Job function*

Organisation*

Other*

The QTC Education Program is only available to Queensland Public Sector employees.

Dietary requirements*

Vegetarian
Gluten free
Lactose free
Vegan
Medical reason
Other
Not applicable

How did you hear about us?*

Other

Payment method*

Credit card *
Invoice

*If you select credit card, we will email you a payment link once we confirm your registration.

Number of attendees

Same as contact person details

Participant 1

Name*

Prefix First Last

Business email*

Business phone*

Mobile*

Job function*

Dietary requirements*

Vegetarian
Gluten free
Lactose free
Vegan
Medical reason
Other
Not applicable

Other

The QTC education program team will contact you to complete these requirements over the phone

Participant 2

Name*

Prefix First Last

Business email*

Business phone*

Mobile*

Job function*

Dietary requirements*

Vegetarian
Gluten free
Lactose free
Vegan
Medical reason
Other
Not applicable

Other

The QTC education program team will contact you to complete these requirements over the phone

Participant 3

Name*

Prefix First Last

Business email*

Business phone*

Mobile*

Job function*

Dietary requirements*

Vegetarian
Gluten free
Lactose free
Vegan
Medical reason
Other
Not applicable

Other

The QTC education program team will contact you to complete these requirements over the phone

Participant 4

Name*

Prefix First Last

Business email*

Business phone*

Mobile*

Job function*

Dietary requirements*

Vegetarian
Gluten free
Lactose free
Vegan
Medical reason
Other
Not applicable

Other

The QTC education program team will contact you to complete these requirements over the phone

Privacy and booking terms

Privacy*

I agree that UQ will notify QTC of my enrolment in and completion of each module/course/program. UQ will also disclose to QTC my enrolment information included in this form. Read our privacy policies

I accept

Booking terms and conditions*

Your booking is subject to QTC and UQ's Terms and Conditions

I accept

Employee of the Queensland public sector or an employee of QTC*

Please tick the box to confirm that you are a Queensland Public Sector Employee (this includes employees of the Queensland Government, Queensland government departments, local governments, statutory corporations, and other entities to the extent they have an association or are related to the State of Queensland) or an employee of QTC.

I confirm

Subscribe to monthly communications

Would you like to subscribe to receive the QTC Education Program monthly e-newsletter for our latest news and special offers? You have the option to opt-out at any time.

Yes please

Additional comments

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Name

This field is for validation purposes and should be left unchanged.