BOOKING INFORMATION

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Please fill in the form below to obtain free 2011 information on all JRE schools and events

First Name *

Last Name *

Address  *

Suburb  *

State  *

Postcode  *

Email Address  *

Please provide at least one contact number so we may reach you

Primary Contact Phone Number  *

Home Number

Work Number

Mobile Number

When would be the best time to contact you?  *

 Midweek Morning 9-12
 Midweek Evening 5-8
 Saturday Morning 9-12
 Saturday afternoon 1-5

What are you interested in, and are you wanting to begin immediately? (Please check as many as you wish)  *

 Singing Division (SD)
 SD Immediate Start Request
 Dance Division (DD)
 DD Immediate Start Request
 StarMaker Program (SP)
 SP Immediate Start Request
 Judy's Dancing Angels (JDA)
 JDA Immediate Start Request
 Budget Buster Classes (BBC)
 BBC Immediate Start Request
 Music & Movement Program (MMP)
 MMP Immediate Start Request
 Glee Club (GC)
 GC Immediate Start Request
 Glee Club Holiday Program (GCHP)
 GCHP Immediate Start Request
 Venue Hire (VH)
 VH Immediate Start Request

Briefly describe your enquiry  *

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