Showbiz Performing Arts Academy
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Full Name of Student  *
Date of Birth of Student *
Parent / Caregiver Full Name & relationship to student *
Parent / Caregiver   Email Address *
Address *
Postcode  *
Parent / Caregiver Contact Number: *
Emergency Contact Details (if different from above)
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Which group are you interested in? *
What date would you like to book for your free taster session?
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