Name *

Please note that this is the name that will appear on your Certificate of Completion and invoice.

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Day 1 Lunch *

Please check only one box

ZUCCHINI & CORN FRITTER: 2 fritters with bacon, avocado, a poached egg and house tomato relish

MORNING GLORY: Smoked salmon on a croissant with hash brown, a soft fried egg, spinach, halloumi and hollandaise sauce

MUSHROOM MEDLEY (v): Button mushrooms on sourdough with feta cheese, spinach and poached egg

Day 2 Lunch *

Please check only one box

HONEY SOY CHICKEN RICE BOWL: Korean-style honey soy chicken on steamed rice with a fried egg

MUSHROOM BOWL (v) : Stir-fried mushroom and vegetables on steamed rice

Dietary Requirements/Allergies

Please tick

Vegetarian (with milk, eggs and fish)

Vegetarian (no milk, no eggs and fish)

Gluten-free

Diabetic

Other*

Confirmation *

I agree that the information provided is correct and I have read the registration terms and conditions.

I agree

I understand that I must pay a 50% deposit* ($400.00) of the full workshop fee in order to complete and secure my workshop booking. *

*full payment of the workshop fee is also acceptable to confirm and secure your booking

I understand