Given Name
*
Family Name
Email Address
*
Phone number
Suburb / Town
Workshop or program you are interested in
*
Stress Busters
Seasons for Growth
Wonder of Living
Program type you're interested in
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For adults (not currently available)
For teens
For kids
Age of your child/children? (select all that apply)
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0-3yrs
4-8yrs
9-12yrs
13-18yrs
Please choose location of program
*
Ballarat
Bendigo
Melton
Mildura
Shepparton
Choose location of program
*
Ballarat
Bendigo
Melton
Mildura
Shepparton
School name
Year level of students
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Web / Google search
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