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Enrolment Form

NOTE:

The eMail address below will be used to forward your RECEIPT when payment is received.
Please double check that it is correct.

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
I am interested in your Classes, Jill Please send me the FEES information ..
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name
E-Mail Address*
Home Phone
Business Phone
Identify VENUE and Child's AGE
Any Questions?
Please enter the word that you see below.