Enrolment Request
After you fill out this enrolment request, we will contact you to go over details and availability before the enrolment is completed. If you would like faster service and direct information on services available please contact us at director@lastinglessons.com.au
Are you a new or existing service user? *
What is the service that you would like to use? *
Required
What days and times would you prefer? Please list two in order of preference. A timetable is listed on the Lasting Lessons website. *
Your answer
Your name *
Your answer
Phone number *
Your answer
E-mail *
Your answer
Preferred contact method *
Required
Questions and comments
Your answer
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