Brisbane Junior Theatre Workshop Registration

Total Cost $200 (inc GST) per 10 week term

To register, please print this page.

Actor's Names and Ages _______________________________________________________________________________
 
Parent's Names _______________________________________________________________________________
 
Address ____________________________________________________P/Code _______
 
Phone (H)__________________ (W)__________________ (M)______________________
 
Email Address____________________________________________
 
Total Amount Paid____________Method of Payment: Cheque__ Visa __ M/C __
 
Credit Card #___________________________ Exp.date _______ Sign______________
 
Please make cheques payable to Brisbane Junior Theatre

Contact Deb on Mob 0438 896 436 or Jack 0402 320 239
BJT is a Not for Profit Organisation

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