Easter Performing Arts Fun Day Program Sign-Up
Please fill out this form to register for the fun day program on Friday April 10 at Bittern Community Hall run by Fierce Performing Arts Company.
Full Name
*
First Name
Last Name
What is your child/children's name(s)
*
Age(s) of Participants
What programs are you signing up for?
10am - Jazz
10:45am - Acrobatics
12:30pm - Lyrical
1:15pm - Ukulele Fun!
FULL DAY
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any allergies or special needs we should be aware of?
Will your child be participating in our pizza lunch and movie
Please Select
Yes
No
Are you happy for us to use photo and videos on our website/social media with your child in it?
Please Select
Yes
No
My Products
*
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Fun Day - Jazz 10am - 10:45am
$
20.00
AUD
Quantity
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Fun Day - Acrobatics 10:45-11:30
$
20.00
AUD
Quantity
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Fun Day - Lyrical 12:30pm - 1:15pm
$
20.00
AUD
Quantity
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Fun Day - Ukulele 1:15pm - 2pm
$
20.00
AUD
Quantity
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Fun Day - All Classes with pizza lunch and movie
$
63.00
AUD
Quantity
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Fun Day - All Classes without pizza lunch and movie
$
60.00
AUD
Quantity
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Credit Card
Sign Up
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