FTC Registration 2018 - Term 4
Federation Talent Centre: The Events Centre - Field 6
Ages 11 - 14
Start Date: Thursday, 18 October, 5:00 - 6:00 (9 weeks)
Email address *
Child's First Name *
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Child's Last Name *
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Age *
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Year of Birth *
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Parent/Guardian Name *
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Phone Number *
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Additional Emergency Contact (optional)
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Any medical issues we need to be aware of: *
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I understand that I will have to pay $85 to the following bank account: ASB 12-3657-0002338-00 prior to the first session. *
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