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Class Enrolment Form
Contact Information:
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Name
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Last
D.O.B (dd/mm)
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This field is not mandatory, however, you may miss out on special birthday discounts
Email
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Contact Number
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General Mentoring - 4 Week Blocks Sessions:
Please select all sessions you wish to attend.
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SEPT: 4th to 25th
OCT: 2nd to 23rd
NOV: 6th to 27th
JAN 2024: 8th to 29th
FEB: 5th to 26th
MCH: 4th to 25th
Please check the box for your preferred session/s
Payment Terms & Conditions:
PAYMENT:
*
$50 - Deposit (non-refundable)
$70 - Balance
PAYMENT METHOD:
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Bank EFT - BSB: 923 100 | Accnt: 6201 9861 - M Elkin
Credit/Debit Card - in person or via phone - 0401 839 592
Please select one option
Important Information:
Deposits are non-refundable and essential to secure your spot. There are no refunds or discounts for non-attendance of classes, so please be sure of your commitment to attend a 4 week block. Should you have any special circumstances, which you are aware of before hand, please feel free to discuss, and we may be able to come to some arrangement regarding your attendance.
I confirm I have read and understand the above PAYMENT TERMS & CONDITIONS:
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