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ADULTS COURSES - OCTOBER 2022
Please enter all fields on this form in order to properly enrol in your short course.
Step 1: Parent/Student 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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Birthday
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Age
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Medical Needs
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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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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?
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
Step 2: Please select the course/s you wish to enrol in.
THURSDAY
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Adults Beginner Hip Hop - Thursday 7.30-8..30pm (5 weeks/$95)
Quantity
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Jazz Performance Course - Thursday 6.30-8pm ($225 or 3 x$75pm)
Quantity
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Hip Hop Performance Course - Thursday 8pm-9.30pm ($225 or 3 x $75pm)
Quantity
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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5
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12
Expiration Month
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2018
Expiration Year
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CVC
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Submit
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