Professional Development
 Registration Form

Complete the details below to register and pay now for the 1-day professional development course.
If you have any questions please contact lifestylemedicine@avondale.edu.au.  

Click 'save' at the bottom of the form to return to your registration form at a later time.

If you already have an account, Sign In here

Personal Details

Please complete all fields below

Title
Entity Data - Profile - Title
First Name
Entity Data - Profile - First Name
Surname
Entity Data - Profile - Surname
Date of Birth
Entity Data - Profile - Birth Date
Mobile Number
Entity Data - Contact - Home - Mobile Number
Email Address
Entity Data - Contact - Home - E-mail Address
Current Position / Job Title
Basic - Text
Business / Organization Name
Basic - Text
Department Name (if applicable)
Basic - Text
[Home] Address -
Entity Data - Address
[Home] Address - Lookup
Entity Data - Address - Lookup
[Home] Address - Street Address 1
Entity Data - Address - Street Address 1
[Home] Address - Street Address 2
Entity Data - Address - Street Address 2
Unit/Flat Number (if applicable)
Entity Data - Address - Unit/Flat Number
Street/Lot number
Entity Data - Address - Street/Lot number
Street Name
Entity Data - Address - Street Name
Suburb
Entity Data - Address - Suburb
[Home] Address - Overseas State/Province
Entity Data - Address - Overseas State/Province
State
Entity Data - Address - State
Post Code
Entity Data - Address - Post Code
Country
Entity Data - Address - Country
Digital Signature
Basic - Digital Signature
Date
Basic - Date

Payment

To finalise your registration for this short course please complete your payment via credit card.  A tax receipt will be available for you to access in your portal.  

To get the early bird discount PAY NOW via Credit Card. This is only available until the 24th of August 2025 and for credit card payment.

 
Please note - this is a non-refundable course.  If you are not able to attend on any of the days the course is being delivered, you will have access to the recordings of the course via your learning portal for a limited time. 

Payment Options
Tuition Fees (Full price: $599 (25 October 2025 - 6 November 2025)) 		$599.00
$599.00
$0.00
$599.00