בסד The Living Legacy Workshops Booking Form A Project of Chabad Youth NSW Mobile: 0433 549 190 Email: [email protected] Name of organisation Phone number Organisation mailing address City State Post Code Contact Name Mobile Email address Date of Presentation Time Number of People Age Group Program Address - If different from above Address City State Post Code Number of Presentations (If several please attach a planned schedule) Program area (Auditorium, Social hall, etc. ) Parking Additional Information The price for the Workshop is $12 per person with a minimum of 30 persons or $360 + gst Please have a table setup for the demonstration, and 4 or 5 tables for participants to work on with enough space allocated for the amount of people attending the workshop. An electricity outlet will be necessary. Please organise to have payment by the day of presentation. Please Read - Terms and Disclaimer By completing this form I undertake the following terms and conditions: 1) Chabad Youth NSW, Lubavitch Jewish Centre and the Sydney Talmudical College Association, their employees and associates, will take all care and exercise due diligence towards the participants attending this workshop but will bear no responsibility for any harm or injury that may befall anyone participating in the workshop. 2) My organisation will not publicise the activities of the Living Legacy workshop in any form of print or digital media unless we simultaneously acknowledge and formally recognise Chabad Youth NSW as the facilitators of the program in the publication. I have read and acknowledge the terms set out by Chabad Youth NSW Please Sign Date This page uses 128 bit SSL encryption to keep your data secure.
