DIY Comedy Workshops at HQ
Workshop Registration Form - 9th, 10th & 11th January 2017

- Workshop Times: 11am to 1pm @ YMCA HQ, 60 Frame Court, Leederville
- Ages 12 to 17
- Cost: FREE

Registrations close Friday 6th January 2017 at 5pm

Participant Name *
Your answer
Participant Address *
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Participant Age *
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Cultural Identity
Participant Phone Number *
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Participant Gender *
Participant Email Address *
Your answer
Medication/Health Concerns/Alergies
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Does the participant have a disability *
If "Yes" to above please provide details
Your answer
Parent/Guardian Contact Details (name and mobile phone contact) *
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