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Polyphonic
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First name
*
Last name
*
Age
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Phone
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Email
Emergency Contact Person Name
*
Emergency Contact Person Phone Number
*
Gender
*
Female
Male
Non-binary
Different term
Do you identify as Aboriginal and/or Torres Straight Islander?
*
Aboriginal
Torres Straight Islander
Neither
Prefer not to say
Do you identify as being from a Culturally and Linguistically Diverse (CALD) background?
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Yes
No
Prefer not to say
Do you identify as a person with disability?
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Yes
No
Preferred Location
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Cessnock
Newcastle
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April School Holiday Intensive
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