Adult Enrolment Form

If you would like to register interest in one of our courses listed below please fill in the form below. Any other courses, please contact the tutor directly as per the contact details shown on the page for that course.

We will come back to you to confirm your place in the course and discuss payment which needs to be made by Eftpos or internet banking before the course starts.

Name: *
Address: *
Email address: *
Phone number:
Mobile number:
Course name: *	Belly Dancing (beginners) Belly Dancing (level two) Spanish (beginners) Spanish (level two) Acrylic Painting Pencil Drawing
Cost:
Term:
How did you hear about this class?	Western Leader Adult and Continuing Education West Auckland booklet Website Flier in letterbox Walk by Community House sign Word of mouth Other
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