MADE Registration Form 2018
TERM 3 Monday 23 July to Thursday 20 September 2018
About MADE
MADE offers contemporary dance classes for mature adults in a supportive, encouraging and non-judgmental environment. Dance is internationally recognised for its many physical and mental health and well-being benefits due to it providing the three keys necessary for balanced good health: physical, intellectual and social. MADE also offers contemporary dance theatre performances for those who wish to take their participation to the stage.

Some MADE classes are held in the Dance Studio at Ogilvie High School, 228 New Town Road, New Town and some at the South Hobart Living Arts Centre at 14 Weld Street, South Hobart. Please check website for location of your selected classes.

Your Details
Please provide contact details below
Name *
Your answer
Postal Address *
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Email Address *
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Home Phone
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Mobile Phone *
Your answer
Date of birth
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In case of emergency, please contact *
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Annual MADE membership
As a MADE Member, you will be covered whilst attending classes by MADE’s Performing Arts Accident Scheme Insurance and you will receive regular information on classes, performances and activities. MADE membership is $10/ year. Membership is Jan 1-Dec 31 annually.
I wish to register for the following *
Required
I wish to register for the following classes
Monday
Tuesday
Wednesday
Thursday
Casual
One class per week ($112.50)
Two classes per week ($210)
Three classes per week ($290)
Four Classes per week ($310)
5 Casual Classes ($75)
10 Casual Classes ($150)
Payment
Total amount you will pay for membership and classes selected above *
Your answer
Make payment to secure your enrolment

Electronic Funds Transfer (EFT)
Mature Artists Dance Experience
BSB 633 000
ACC 147 644 678
Please reference [Your name-Term 3]
eg. S Gibson-Term 3

Please tick each of the boxes below to accept *
Required
Contact Us
Queries about classes:

email: dance@madecompany.com.au
Phone: Shirley Gibson 0419 117 587

Find us on the web: www.madecompany.com.au

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