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ADULTS DANCE CLASSES
Please enter all fields on this form in order to properly enrol and submit the form.
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
Step 1: Student Information
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?
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 3: Program Selection
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BDC Adults membership
Basic
(1 class per week/ $79Mth )
Quantity
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BDC Adults membership
Black
(2 class per week / $139mth)
Quantity
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BDC Adults membership
Silver
(3 class per week/ $199mth)
Quantity
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BDC Adults membership
GOLD
(
UNLIMITED
class per week/ $239mth)
Quantity
Step 4: Class Selection for 2022
MONDAY
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Adults Open Commercial Jazz - Monday 6.30pm
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Adults Open Lyrical - Monday 7.30pm
Quantity
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Adults Beginner Heels- Monday 8.30pm
Quantity
TUESDAY
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Adults Open Hip Hop- Tuesday 8.30pm
Quantity
WEDNESDAY
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Adults Beginner House- Wednesday 6.30pm
Quantity
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Adults Beginner Hip Hop- Wednesday 7.30pm
Quantity
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Adults Open Jazz Funk hip hop - Wednesday 8.30pm
Quantity
THURSDAY
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Adults Beginner Ballet - Thursday 6:30pm
Quantity
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Adults Beginner Hip Hop- Thursday 7:30pm
Quantity
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Adults Beginner Jazz - Thursday 7:30pm
Quantity
FRIDAY
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Adults Beginner Tap- Friday 9.00am
Quantity
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Adults Beginner Jazz- Friday 10.00am
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
2
3
4
5
6
7
8
9
10
11
12
Expiration Month
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2018
Expiration Year
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CVC
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Submit
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