Walk With Me Expression of Interest
If you are interested in participating in the Act-Belong-Commit Walk With Me project, please complete the form below or email jody@euphorium.com.au by September 03, 2019.
Full Name *
Your answer
Age *
Address *
Your answer
Parent/guardian name (if under 18)
Your answer
Contact number *
Your answer
Email *
Your answer
Please select the days you are available *
We encourage you to circle every day you are available as preference will be given to performers that can commit to the whole project.
Required
Please select which art form you are interested in (select as many as you like) *
Required
Parent/guardian permission (if under 18)
Submit
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