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Enrolment Form 2021
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* Indicates required question
Email
*
Your email
MOTHER/ NAME OF PERSON COMPLETING FORM
*
Your answer
MOBILE PHONE NUMBER
*
Your answer
FATHER'S NAME
Your answer
MOBILE PHONE NUMBER
Your answer
ADDRESS
*
Your answer
WHICH VENUE WILL YOU BE ATTENDING?
*
Surrey Hills - Monday
Malvern - Wednesday
Both
HOW DID YOU HEAR ABOUT STONNINGTON PHYSIE?
*
LONG TIME MEMBER
WORD OF MOUTH
SOCIAL MEDIA
SCHOOL ADVERTISING
Other:
PREFERRED PAYMENT METHOD - Invoices will be emailed to your nominated email address and are paid via bank transfer
*
Invoice for full year's lessons - 10% discount if paid by end of February
Invoice per term
I give approval for my/my daughter/s photograph, name and results to be published in StonningtonPhysie promotions.
*
YES
NO
Other:
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