Course Registration Form
What is your name?
Which suburb do you live in?
What is your phone number?
What is your email address?
Leave blank if you don't have one.
What is your age in years?
0 to 18
19 to 39
40 to 59
Which course/s are you registering for?
Life Internet Skills (Redfern Centre - Tue 10am to 12noon)
Introduction to Computers (Redfern Centre - Tue 1 to 230pm)
Web Page Design (Harry Jensen Centre - Wed 10am to 12noon)
Computer Club (Reg Murphy Centre - Thurs 930 to 11am)
Smartphone & Tablet Basics (Redfern Centre - Mon 1 to 230pm)
Do you agree to have your image used for publicity?
Leo Birch Computer Training and the City of Sydney uses the information you provide in this form for administrative purposes and will never disclose your personal information to third parties unless required to do so by State or Federal law.
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