Preferred Course Week

31 May - 6 Jun 4 Jun - 10 Jun 7 Jun - 13 Jun 11 Jun - 17 Jun 14 Jun - 20 Jun 18 Jun - 24 Jun 21 Jun - 27 Jun 25 Jun - 1 Jul 28 Jun - 4 Jul 2 Jul - 8 Jul 5 Jul - 11 Jul 9 Jul - 15 Jul 12 Jul - 18 Jul 16 Jul - 22 Jul 19 Jul - 25 Jul 23 Jul - 29 Jul 26 Jul - 1 Aug 30 Jul - 5 Aug 2 Aug - 8 Aug 6 Aug - 12 Aug 9 Aug - 15 Aug 13 Aug - 19 Aug 16 Aug - 22 Aug 20 Aug - 26 Aug 23 Aug - 29 Aug 27 Aug - 2 Sept 30 Aug - 5 Sept 3 Sept - 9 Sept 6 Sep - 12 Sep 10 Sep - 16 Sep 13 Sep - 19 Sep 17 Sep - 23 Sep 20 Sep - 26 Sep *

2nd Choice Course Week

31 May - 6 Jun 4 Jun - 10 Jun 7 Jun - 13 Jun 11 Jun - 17 Jun 14 Jun - 20 Jun 18 Jun - 24 Jun 21 Jun - 27 Jun 25 Jun - 1 Jul 28 Jun - 4 Jul 2 Jul - 8 Jul 5 Jul - 11 Jul 9 Jul - 15 Jul 12 Jul - 18 Jul 16 Jul - 22 Jul 19 Jul - 25 Jul 23 Jul - 29 Jul 26 Jul - 1 Aug 30 Jul - 5 Aug 2 Aug - 8 Aug 6 Aug - 12 Aug 9 Aug - 15 Aug 13 Aug - 19 Aug 16 Aug - 22 Aug 20 Aug - 26 Aug 23 Aug - 29 Aug 27 Aug - 2 Sept 30 Aug - 5 Sept 3 Sept - 9 Sept 6 Sep - 12 Sep 10 Sep - 16 Sep 13 Sep - 19 Sep 17 Sep - 23 Sep 20 Sep - 26 Sep

Name of Primary Contact (Firstname) (Lastname)

Mr Mrs Miss Ms *

Date of Birth (dd/mm/yyyy)

*

Primary Telephone Number

Home Work Mobile *

Secondary Telephone Number

Home Work Mobile

Email

*

Address

*

#People in Group*

1 2 3 4 5 6 7 8 9 10 11 12

Group Names

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