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4 WEEK ADULTS SHORT COURSES - MAY 2022
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Please enter all fields on this form in order to properly enrol in your short course.
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Step 1: Parent Information
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First Name:
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Last Name:
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Email:
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Mobile Number:
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Secondary Carer /
Emergency contact's
First Name
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Secondary Carer Surname
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Secondary Carer Phone
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Step 1: Student Information
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Note: If you are an Adult learner please re-enter YOUR details.
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Student First Name
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Student Last Name
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Birthday
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Age
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Medical Needs
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Select...
Google Search
Referral or Word of mouth
Facebook
Instagram
Subscribed to Emails
Walked or drove past BDC
Direct Mail
School Newsletter
Blog post
Live or online Event
Billboard, TV or Radio
How did you hear about BDC?
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Step 2: Postal Address
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Address:
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Suburb:
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(AU) New South Wales
State:
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Postcode
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Step 2: Please select the course/s you wish to enrol in.
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The next courses start in the First week of May (Thursday May 5th/Saturday May 7th)
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THURSDAY
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Adults Beginner Hip Hop- Thursday 6pm
Quantity
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Adults Beginner Locking - Thursday 7pm
Quantity
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SATURDAY
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Adults Beginner Ballet- Saturday 11am
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Adults Beginner Jazz- Saturday 12pm
Quantity
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Adults Beginner Tap- Saturday 1pm
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Adults Beginner Hip Hop- Saturday 2pm
Quantity
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CLASS SUMMARY
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Step 3: Payment Information
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Name On Card:
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Card Number
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1
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3
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Expiration Month
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2018
Expiration Year
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CVC
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Submit
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By submitting this form, you agree to our
Terms and Conditions
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Privacy Policy.
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