Registration Form Sat 7th December 2019, 10am-3pm QCCC Tamborine North Tamborine, Queensland Personal Information Last name First name Email Mobile phone Name of former high school: Kenmore State High School Ferny Grove State High School Have you received a Goethe-Institut PASCH scholarship to Germany while at school? Yes No Have you been to Germany, for work, study or travel, after school? Yes No Please specify. No What do you currently do? What are your future plans with German? Emergency Contact Information Last name First name Mobile phone Dietary Requirements Are you vegetarian? Yes No Are you vegan? Yes No Other Consent to use of photographs and video images I hereby consent to the use of photographs and video images in which I may be clearly recognizable for purposes of reporting on the PASCH Alumni Meeting without restriction in terms of time, location or content, in all current and/or future media, and in particular in the form of publicly accessible internet content, including social media (e.g. Facebook, Instagram, Twitter) and through reproduction. Yes No * required When you send us the information contained in the contact form by clicking on the button below, you declare your consent for us to use your personal data for purposes of answering your enquiry and/or contacting you. You can revoke your consent by sending an e-mail message to education1-melbourne@goethe.de. If you revoke your consent, your data will be erased immediately. Otherwise, your data will be erased after we have processed your enquiry or if the purpose of storing it no longer exists. Privacy Policy Send