Class Booking - Fire Twirling, Hula Hoop and Circus Acts Australia

Puzzle Dust Circus Class Booking Form

Name *

First

Last

Phone number & Email *

I'd like to book into: *

Hoop Course, Nth Fitzroy - Wed 30 June @ 7pm - 4 weeks, $85 (or $120 with a new hoop) Beginner Poi Course, Nth Carlton - Monday 5 July @ 8pm - 4 weeks, $85 Int/Adv Poi Course, Nth Carlton - Monday 5 July @ 8pm - 4 weeks, $85

Payment can be made via bank transfer to: Puzzle Dust Circus, Commonwealth Bank, BSB. 06 3111 Acct. 1064 9319. Please write your name and 'hoop class' or 'poi class' in the transfer. We will contact you to confirm your booking. *

I understand that classes are not transferable to a different course nor refundable once booked I have transferred payment to the above account

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