QDSE-application-saturday-RAD-classes

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Saturday RAD classes open to outside students at Kelvin Grove State College in SJ Block, entrance on
L’Estrange Tce at the QDSE sign.
Casual Student Details:RAD Level
Please circle
Intermediate
Advanced 1
Advanced 2
Surname
Given names
Sex
Date of Birth
Email
Dance Teacher/School
Home address
Suburb
State & Postcode
Home Phone
Student Mobile
Next of Kin
Name
Relationship
Home Phone
Mobile
Email
Please add my email to the distribution list for QDSE/KGDE newsletters. Yes / No (circle)
Date
/
/
Please fill out and return to [email protected]
Or
Kelvin Grove State College
L’Estrange Tce
Kelvin Grove Q 4059
Attention Val Budworth 3552 7307
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