JCMOD WINTER WARM UP 2024
REGIONAL DANCE TOUR
Personal Information of Dancer
AGE GROUPS: Regional Workshops 9yrs - 11yrs & 12+ | Ministry Workshops 12+
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Day
-
Month
Year
Date
Soical Media Wavier
*
Please tick, CAN NOT be photographed or videographed for social media use. (you will be asked to step out)
Please tick, if you CAN be photographed or videographed for social media use.
Emergency Contact
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
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What is the name of your dance school?
*
How did you hear about this event?
*
Please Select
Social Media
My Dance School / Dance Teacher
JCMOD Website
Google
Other
Which town/s do you plan to attend?
*
Yenda/Griffith (9th July)
Albury (10th July)
Shepparton (9th July)
Traralgon (9th July)
Bairnsdale (10th July)
Ministry of Dance - Nth Melb (12th July)
What Age Group Are you Booking For?
*
Please Select
9 - 11 (Available for Regional Workshops Only)
12 +
Please Note:
Schedule may be subject to change | An information pack will be sent to you once all teachers & venues have been finalised
Signature
*
PLEASE NOTE: A Summer Safari Handbook will be emailed to you upon booking with further information, which will include teachers and venue confirmation
My Products
*
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Regional Dance Workshop (9 - 11yrs & 12+ yrs)
$
120.00
AUD
2 x 1hr Workshops run by Minstry of Dance's core faculty All footage from the day included
Ministry MEGA WORKSHOPS & Dance Party (12+)
$
150.00
AUD
Friday 12th July - Mega Workshops with Jason Coleman & his Core Team Winter Dance Party included in this package
FULL PACKAGE
$
230.00
AUD
Includes a Regional Workshop location, Ministry's MEGA Workshops & a ticket to our Winter Dance Party
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Total
$
0.00
AUD
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