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Main Contact Details
Name
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Date of Birth (DD/MM/YY) (optional for adults)
Contact Number
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Email
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If you are registering for your child:
Child's Name
Child's Date of Birth (DD/MM/YY)
Programme Interest
I am interested in
Kids/Youth trial sessions (ages 7–17)
Adult communication programmes
Are you interested in enrolling in regular weekly classes?
*
Yes
No
Maybe
Please add me to your mailing list!
Yes please.
Not now, thanks.
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