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Pinocchio
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Student information
*
Indicates required field
Child #1 Name
*
First
Last
Child # 1 DOB
*
Child #2 Name (if applicable)
*
First
Last
[object Object]
Child #2 DOB (if applicable)
*
If more than two children , please write first name, DOB
*
Please, choose one or more options
*
4 to 8 of July 2022 - North Perth
27 to 30 of Sept 2022- North Perth
Early drop off 8:30am and late pick up 4pm ($50+gst for the 5 days))
*
Yes
No
Not decided yet
Parent information
Parent Name
*
First
Last
Address (if changed since last time you enrolled)
*
Line 1
Line 2
City
State
Zip Code
Country
Email (if new)
*
Mobile phone (if new)
*
Emergency contact (if new)
*
First
Last
Emergency Contact Phone Number (if new)
*
Medical condition we should know (if new):
*
Permission to use photography
*
Yes
No
Under some conditions
When you click yes you allow us to use photography for publicity purposes: website, facebook page, press.
If Under some conditions, please precise.
*
Please tick
*
I understand that I have to pay $55 of annual administration fee per family.
I understand that I have to pay fees before class.
Date
*
I agree to receiving marketing and promotional materials
Submit
Home
Testimonials
Adults
Become a French Actor
Performances
Pinocchio
Past Performances
Children
Weekly classes
French Holiday Program
French story to listen
Contact
About us