GAQ Dance Community - Term 1 Registration
Classes: Every Sunday from 3rd March to 31st March 2019
Location: 59 Mortimer Road, Acacia Ridge 4110
Student Name *
Your answer
Email *
Your answer
Primary Contact Number *
Your answer
Date of Birth *
Your answer
What class will you attend? *
Cost: $2 per class for GAQ Members and $5 for non-members

*Performance team is a more intensive workshop for teens and young adults with a focus on performance opportunities. To be invited to join this team, you must show commitment and dedication to the weekly workshops. This will be held each Sunday from 11:30am to 12:30pm.

Emergency Contact Information
Emergency Contact Name *
Your answer
Phone Number *
Your answer
Relationship (with your emergency contact) *
Your answer
Image Release
I hereby consent and agree that Gujarati Association Queensland (GAQ) has the right to take or use photographs and videos during classes and performances. GAQ will be able to use these in any or all of the promotional and advertising material of Gujarati Association Queensland *
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