BOX HILL COMMUNITY ARTS CENTRERegister for a Free Course Register for a free course / workshop at Box Hill Community Arts Centre by completing the form below. Course Name*Course Date and Time*Your Name* First Last Email* Phone*Address* Street Address Suburb State Post Code Have you or a family member attended a course at BHCAC in the past?* Yes No Secondary Contact Name* First Last Secondary Contact Phone*Name and Date of Birth of Student/s Attending*First NameLast NameDate of Birth Please advise of any medical conditions our staff need to be aware of:Participation Agreement* I give permission for my child to attend and participate in BHCAC courses / activities. In the event of a medical emergency, I give permission for medical treatment to be administered. I have read the BHCAC Behaviour Expectations (available to download on the BHCAC website).