Building a Great Performance - Registration Form
Each participant must complete a registration form.
Email address *
Name of student registering: *
Your answer
Date of birth: *
MM
/
DD
/
YYYY
Phone number: *
10 digit number required, either mobile number or landline with area code. No spaces.
Your answer
Parent/Emergency Contact Name: *
Your answer
Emergency phone contact: *
10 digit number required, either mobile number or landline with area code. No spaces.
Your answer
Address: *
Please include suburb and postcode.
Your answer
How did you find out about this workshop? *
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This form was created inside of Helen Perris Music Teacher.