Lavender Art Studios

Adult programs enquiry form

Note: Asterisk (*) indicates a required response

Your details

First name *

Last name *

E-mail address *

Name of participant(s)

Enquiring for yourself? Yes No

Other participants?

Please provide full names. If needed, seperate additional participants with commas.

What program(s) or workshop(s) are you enquiring about?

Programs

Art program
Dru yoga program
Dru yoga for businesses and corporations
Dru yoga for those with special needs

Workshops

Three-day high country retreat

Other

Participant(s) contact details

Mobile phone

Work phone

Home phone

Participant(s) address details

Street address

Suburb

State

Post code

Participant(s) profile

Profile of participant(s)

Please provide any additional comments that will help us tailor our programs and/or response to your needs. Details such as prior learnings, skills and artist level would be appreciated.

Additional information

Do you have any additional information or questions?

Please tell us how you found Lavender Art Studios

Newspaper

Magazine

Anything else?

Private Krankenversicherung (PKV)