If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Parent's Name * Parent's Email * Address * Contact Number * Child's Name * Child's Date of Birth * (dd/mm/yyyy) Emergency Contact Name Emergency Contact Number Course Date: * Tue 14th July (13:30 – 15:00)Thu 23rd July (13:30 – 15:00) $350 / person / lesson, minimum 2 people.