Glee Club for Kids - registration form 2023

Registration Form 2023
Parent name

First Name Last Name
Student name

First Name Last Name
Student 2 name (if more than one student in the family)

First Name Last Name
Birth Date (student 1)

Month Day Year
Birth Date (student 2)

Month Day Year
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail (please double check this)

Confirmation Email example@example.com
Phone Number

Area Code Phone Number
Anything else you'd like to let us know?
Payment - all prices are inclusive of GST.
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Giving it a goCome along for one week before deciding if it's for you
$10.00AUD Quantity



1 term
$200.00AUD Quantity



2 terms
$380.00AUD Quantity



3 terms
$550.00AUD Quantity



Full year
$700.00AUD Quantity



Total

$0.00AUD

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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