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Fast Track - Comp Readiness Workshops Age as @ January 1 2024 Date: Sat 16 December 2023 Cost: $40 - 3hrs, $30 - 2hrs Time: 6's - 1-3pm - Studio 1 8-10's - 9-12pm - Studio 11 12-14's - 12-3pm- Studio 11 16yrs+ - 1-4pm - Studio 12 IMPORTANT: Back at Bootcamp dates - January 22, 23 & 24 2024 (There will be a required day/s for those wishing to be considered for Comp Classes 2024.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
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
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
School:
*
:
*
Adult
Kindergarten
Preschool
Year 1
Year 10
Year 11
Year 12
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Allergies (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
School:
*
:
*
Adult
Kindergarten
Preschool
Year 1
Year 10
Year 11
Year 12
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Allergies (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
School:
*
:
*
Adult
Kindergarten
Preschool
Year 1
Year 10
Year 11
Year 12
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Allergies (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
School:
*
:
*
Adult
Kindergarten
Preschool
Year 1
Year 10
Year 11
Year 12
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Allergies (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
Female
Male
Birth Date:
*
(format=dd/mm/yyyy)
School:
*
:
*
Adult
Kindergarten
Preschool
Year 1
Year 10
Year 11
Year 12
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Allergies (Leave blank if NONE):
Questions/Options:
Comp age group as @ January 1 2024:
*
I understand that Back at Bootcamp 2024 - Jan 22, 23 & 24 is coming up quickly. I also understand that there is a REQUIRED day/s for those in/wishing to be considered for comp classes.
*
Yes
No
Additional Information:
Other Questions/Comments:
Please fill out ONE of the following Payment Methods.
Credit Card Verification:
Card Number:
Visa
Mastercard
Amex
Name as it appears on card:
Nickname:
Card Expiration Month:
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
Address Line 1:
Address Line 2:
City:
State/Prov:
Postal Code:
eCheck/Bank Draft:
Bank Name:
Bank State Branch (BSB) Number:
(6-digit number)
Your Account Name:
(Your name on your bank statement)
Your Account Type:
Checking
Savings
Account Number:
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