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The Premier Dance Academy

Class Registration

Parent Details (Account Holder)

Student Details

Select Student

Class Details

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Booking details

Parent Details

First name
Last name
Address 1
Address 2
Billing address 1
Billing address 2
Billing suburb
Billing suburb
Billing postcode
Home phone
Mobile #2
Email #2
Emergency Contact Name (Other parent, grandparent, carer, nanny etc)
Emergency Contact Relationship To Child
Emergency Contact Phone Number


Order Details

Description Price Discount GST Total
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Card Details


Beecard Code

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