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  • Enrolment Form Online Program

    Uploaded by

    Janis Garner
    20 views2 pages
    Enrolment form for online Self esteem Program for Girls aged 10-12

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    Enrolment form for online Self esteem Program for Girls aged 10-12

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    20 views2 pages

    Enrolment Form Online Program

    Uploaded by

    Janis Garner
    Enrolment form for online Self esteem Program for Girls aged 10-12

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Enrolment Form

    Online Program- $200 inc GST


    Childs First Name Surname
    Childs D.O.B..
    Parents First Names..Surname
    Address.
    State..Postcode.
    Telephone Home
    Childs Mobile (if applicable)...
    Parents mobile..

    Email.
    Once enrolment form is received and confirmed, an invoice shall be email with payment and
    delivery of program details.
    Please either print and post form to: Self Esteem Co. U706 Points North Apartments 38-44 Queen
    St Kings Beach QLD 4551 or Scan and email to selfesteemco@iinet.net.au

    Prelimenary Questions.
    What has prompted you to enrol your daughter in an online program?

    What results are you wanting for her from the online program?

    What time is able to devoted by your daughter for the online program?

    Is your daughter in aggreance with doing the online program?

    What is your main self esteem concern for your daughter?

    .
    Please use this space to to add any additional information you would like Janis (Coach) to know.

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