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ALL SESSION TO BE PREPAID - Use 'Child's name as a reference. Bank Transfer, Cash or Card payment in Centre Account name: k43 Training Centre BSB: 012 445, ACCOUNT NUMBER: 4321029

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State/Prov: * Postal Code: *

Students entered below will be added to your family's account

Questions/Options:


Student Name
If you want a 'Lunchtime Sausage Sizzle - $5, please specify how many?
Have you made mandatory prepayment? Use 'Child's name as a reference. Bank Transfer, Cash or Card payment in Centre Account name: k43 Training Centre BSB: 012 445, ACCOUNT NUMBER: 432102932

Additional Information:

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Child Protection

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Payment

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