Please note, workshops are now full, however, please sign up to join the waitlist

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* 1. What is your name?

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* 2. What suburb do you live in?

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* 3. What is your contact number?

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* 4. What is your email address?

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* 5. What language do you speak at home?

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* 6. Do you identify as Aboriginal or Torres Strait Islander? Y/N

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* 7. How did you hear about Smile Shimmy Shake?

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* 8. What is your age?

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* 9. How do you identify? Female/Male/Trans/Other

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* 10. Do you have any injuries or health issues we should be aware of?

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