Dressmaking

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Course/Program Title(Required)

Title(Required)

Mrs

Miss

Name(Required)

Name Used (if different from above)

Address(Required)

Street Address Address Line 2 Suburb State Post Code Country

Phone(Required)

Email(Required)

Date of birth(Required)

Date Joined

Next of Kin (In case of emergency)

Relationship (Son/Daughter etc)

Phone No

Do you consent to your Photograph being taken for advertising and social media purposes?

Yes

Do you consent to a medical practitioner, hospital or ambulance service to be contacted if required on the day of attendance at the group?

Yes

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