Geraldton Dark Sky Astrofest Registration form Fill out one registration form per person attending the event (then you all get a draw in the telescope competition!)The telescope will be drawn at random from all entries on the night of Geraldton Astrofest, May 27th, 2017. We will contact the winner via phone and/or email and arrange for delivery of the prize if they are no longer at Astrofest when the draw occurs. Question Title * 1. Contact DetailsThis information will be used to contact you should you win the prize draw. Your information will be deleted once we have drawn the prize and will not be used for any other purpose unless you have given permission. Name ZIP/Postal Code Email Address Phone Number Question Title * 2. Free bus transfer TO Astrofest (See bus pickup points) 13:00 15:00 19:00 No Bus transfer required Question Title * 3. Free bus transfer FROM Astrofest (See bus drop off points) 17:00 21:00 23:00 No return bus transfer required Question Title * 4. Will you be joining us for dinner? $25 per person, menu. Other food will be available for purchase during the day. Yes No Question Title * 5. Gender Male Female Non-binary Prefer not to say Prefer to self describe: Question Title * 6. Age 5-14 15-24 25-34 35-44 45-54 55-64 65+ Prefer not to say Question Title * 7. Your interest in astronomy is... Nothing Extensive Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 8. Your knowledge of science is... Nothing Extensive Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 9. Have you ever attended an astronomy event before? Yes No Not sure Question Title * 10. Would you like to subscribe to our mailing list and be kept up-to-date with astronomy news and events in the future? Yes No Thank you for your registration. Please don't forget to hit 'Submit' to finalise your RSVP and competition entry!ICRAR and The University of Western Australia respect your privacy. Personal information collected by us will remain confidential and is never shared with third parties without your permission. For the telescope prize draw, the promoters’ decision will be final and no correspondence will be entered into. For a full privacy statement please see ICRAR's full privacy policy. Done