Person submitting registration.
Class option (please tick): ICAN Act ICAN Dance ICAN Sing ICAN Kapahaka
School / organisation details
Independent Student Supported Student
Billing information (please tick who is to receive the billing information)
Student Primary Caregiver School / organisation
Student has a physical / intellectual disability and would like a 50% class subsidy generously provided by Idea Services Waitaki
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term and conditions.
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