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* 1. Which group/s are you interested in registering for?

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* 2. Is this the first time you are registering for our school holiday groups?

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* 3. What are your main reasons for choosing this group?

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* 4. What days are you available to attend the group sessions? Select all that apply

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* 5. Please enter the participant's full name:

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* 6. Please enter the participants age:

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* 8. Please provide a contact telephone number:

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* 9. How likely is it that you would recommend our groups to a friend or colleague?

Not at all likely
Extremely likely

T