SurveyMonkey Powered Online Survey

To enrol on-line, please continue through the questions below. Your place is not confirmed until you receive a receipt for payment at the end.

To book by phone: Please call Box Office on 02 4723 7600 Mon-Fri 9am - 4:30pm or Sat 9am - 11:30am

To book in person: Please visit the Box Office Mon-Fri 9am -4:30pm or Sat 9am - 11:30am

Please note:
Payment MUST be received prior to attending any session.

Vacancies are limited and positions are not held unless payment has been made.

If you have not yet purchased a studioQ Membership please be sure to do so before attending your first session.

Question Title

* 1. Please enter the details of the person who will be attending the workshop

First Name

Last Name

Date of Birth

Question Title

* 2. Which workshop would you like to enroll in?

	Name of Workshop
Please select your preferred workshop session	Please select your preferred workshop session Name of Workshop menu

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* 3. If you are completing this application for someone else, ie. a child or a sibling, please list your details below. If you are completing this application for yourself, please write AS ABOVE in the first box.

First Name

Last Name

Relationship to participant

Contact Number

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* 4. Are there any special requirements or medical conditions of the participant?

Participants often bring food into class, please be as specific as you can about any dietary or medical requirements. This information is confidential.

Question Title

* 5. Emergency Contact Details

First Name

Last Name

Relation to Participant

Contact Number

The Emergency contact person should be someone that we can contact in case the participant is involved in a medical emergency. Please do not put your own contact number if you are enrolling yourself.