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Chidlow Sandi Simons 2-day performance Clinic
Clinics & Camps
Clinic Registration
Step 1 of 3 - Information
33%
Clinic Registration
Price:
$ 0.00
Clinic Registration
Price:
$ 100.00
Registration Type
Participant
Fencesitting
Number of Days
1 Day
2 Days
Dates Attending
Please provide the dates you will be attending
Day 1 Attending
*
Date Format: DD dash MM dash YYYY
Day 2 Attending
*
Date Format: DD dash MM dash YYYY
Day 3 Attending
*
Date Format: DD dash MM dash YYYY
Day 4 Attending
*
Date Format: DD dash MM dash YYYY
Name
First
Last
Email
Phone
How much will you be paying today?
FULL AMOUNT
50% DEPOSIT
MINIMUM DEPOSIT (NON-REFUNDABLE)
Amount Paid Today
remaining balance due 2 weeks prior to the event date
Amount Paid Today
remaining balance due 2 weeks prior to the event date
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.
Clinic Details
Start Date
17 Apr, 2021
End Date
18 Apr, 2021
AU State
WA
Full Cost
$500
Fence Sitting
$132
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