Course enrolment form

Name *
Name
Gender *
Concession Type *
Do you have a USI?
I give Yackandandah Community Centre the permission to use images captured of myself during the course in its own marketing and promotional material.
Privacy Statement
Yackandandah Community Centre respects your right to information privacy. 
 The information we collect and keep on students is kept confidential in accordance with privacy laws. 

It is used for our administrative and statistical purposes only and will only be disclosed to our funding bodies as required. Please call the centre manager for further information.