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DYNASTY Performing Arts Holiday Camps - SEP 2021
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Email
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Your email
Student Full Name
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Your answer
Student DOB
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MM
/
DD
/
YYYY
Student name of School/ Grade in 2021
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Your answer
Student 2 Full Name
Your answer
Student 2 DOB
MM
/
DD
/
YYYY
Student 2 School/ Grade in 2021
Your answer
Student 3 Full Name
Your answer
Student 3 DOB
MM
/
DD
/
YYYY
Student 3 School/ Grade in 2021
Your answer
Parent/ Guardian Name
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Your answer
Parent/ Guardian Email
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Your answer
Home Address
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Your answer
Parent/ Guardian Contact Number
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number
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Your answer
Which days do you wish to book?
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Monday September 27
Tuesday September 28
Wednesday September 29
Thursday September 30
Friday October 1
Required
Has your child/ren had any medical history and / or allergies that DYNASTY should be aware of? Please list any current medications.
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By selecting 'Yes', you are giving consent for DYNASTY PERFORMING ARTS to use photographs and/or video footage of your child/ren for promotional purposes, including, but not limited to, DYNASTY website & social medias.
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Yes
How did you hear about us?
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Facebook Group eg ‘Everything Sutherland Shire’
DYNASTY Facebook Page
DYNASTY Instagram
Google Search
Mums of the Shire
Word of Mouth
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