Kwoorabup Denmark Workshop program

Southern Edge Arts

Term 4 2025 Kwoorabup Denmark Workshop program
Participant Name*

First NameLast Name
Birth Date*

DayMonthYear
Relevant participant Medical / Behavioural information
Parent Guardian Contact Details

For 18yrs+ participants please provide your own details
Parent Guardian Name*

First NameLast Name
Relationship to participant*
Mobile Number*
E-mail*
example@example.com

My Products

Circus & Aerials - 8-11 yrsWednesday 4pm to 5.15pm | 8-11yrs

$150.00AUD Quantity

Circus & Aerials 12-15yrsWednesday 5.15pm to 6.30pm | 12-15yrs

$150.00AUD Quantity

Circus & Aerials 16yrs+Wednesday 6.30pm to 7.45pm | 16yrs+ ( includes adults)

$150.00AUD Quantity

Circus Aerials 16 yrs+ - Single Workshop Trial or pay as you go option for Term 4

$18.00AUD

	Quantity
Wednesday 15 October
Wednesday 22 October
Wednesday 29 October
Wednesday 5 November
Wednesday 12 November
Wednesday 19 November
Wednesday 26 November
Wednesday 3 December
Wednesday 10 December

Membership (1st participant)SEA is a membership based organisation. All participants are required to pay a yearly membership fee and complete membership form annually.

$20.00AUD Quantity

Membership (additional family members)SEA is a membership based organisation. All participants are required to pay a yearly membership fee and complete membership form annually.

$15.00AUD Quantity

Donate to our Equipment Fund

$10.00AUD Quantity

Total

$0.00AUD

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

Southern Edge Arts

Parent Guardian Contact Details