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Designed by Karla Pizzica for Rhythm Culture 2017

Quick and Easy Quote Form

Client Details
Organisation/Company*
Contact Name*
Contact Email*
Contact Phone Number
Event Details
Event Date*

DD
MM
YYYY
Event Location*
ZIP / Postal Code
Number of Participants*
Event Purpose / Theme*
Any Other Comments
Where did you hear about Rhythm Culture?*

Booking Form

Client Details
Organisation/Company*
Contact Name*
Contact Email*
Contact Phone Number*
Event Details
Contact Name (at the event)*
Contact Mobile (at the event)*
Event Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Event Date*
Event Arrival Time

: HH

MM
Event Start Time*

: HH

MM
Event Finish Time*

: HH

MM
Number of Participants*
Access Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Any notes regarding access (eg: Stairs, Elevators etc..)
Event Purpose / Theme*
Any Other Comments
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Contact Us

Name*
Email*
Contact number
Location (if applicable)
Message
Where did you hear about us?*

Enrolment Form

Student Details
Name
First Last
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Age (Please Select)*
- 10-18
- 18-32
- 32-46
- 46-60
- 60+
Occupation
History
Have You Taken Classes Before?
Do you have any injuries or ailments that we need to be aware of?*
Lesson Planning
Which Classes are you Attending?
What do you hope to benefit from the Class?
What Motivated you to Start Lessons?
How did you hear about Rhythm Culture? (Please check)
- Friend/Family
- Newspaper
- Sign
- Flyer
- Internet Search
- Website
- Facebook

Client Feedback

Name
First Last
Email
How was our initial response time?
How was our event coordination?
How did we look?
How was our performance/facilitation?
Would you recommend Rhythm Culture to a friend?*
- Yes
- No
Were we on time?
- Early
- Late
Where did you hear about Rhythm Culture?
- Word of mouth
- Google
- Facebook
- Flyer
- Website
- Banner
- Newspaper/media
- Friends
- Other
Testimonial/Comments
Could you please provide us with a testimonial or comment on your experience with Rhythm Culture?

Class Feedback

Name
First Last
Email
What class are you enrolled in?
How are you finding the weekly African drumming class?
How challenging are you finding this course?*
Let us know how you going with this course
- Too easy
- Challenging but ok
- Very challenging
- Too difficult
Are you intending on booking for the next course?*
- Yes
- No
Can you let us know why?
- Too far to travel
- It's not really my thing
- I have family commitments
- Work commitments
- I feel uncoordinated
- Financial reasons
- Due to illness
- I have a commitment to another activity
- I receive tuition elsewhere
- Other
Other reasons
Is the class what you were expecting?*
Do you find the classes energising?*
- Yes
- No
- Sometimes
What would you like to see more of?*
- Student Performances
- More social time in class
- More singing
- More cultural information
- More solos
- More drum circles
- More events, camps, festivals
- More international artists
- More class options
- More classes on different days of the week
- A class in your local area
- Other
Please tell us what you enjoy most or what you would like to see more?

Never Done a Class Before?

Grab your $10 Intro Class (New Students only)

COUPON CODE: Introclass

How to use this coupon:

Copy Introclass and close this window.
Scroll down and find the class you want to book.
Click on the book now button
Enter the coupon code, Introclass where it says coupon and click apply.
Finish the booking and......

COME AND PLAY!

Class Feedback

Name
First Last
Email
What class are you enrolled in?
How are you finding the weekly African drumming class?
How challenging are you finding this course?*
Let us know how you going with this course
- Too easy
- Challenging but ok
- Very challenging
- Too difficult
Are you intending on booking for the next course?*
- Yes
- No
Can you let us know why?
- Too far to travel
- It's not really my thing
- I have family commitments
- Work commitments
- I feel uncoordinated
- Financial reasons
- Due to illness
- I have a commitment to another activity
- I receive tuition elsewhere
- Other
Other reasons
Is the class what you were expecting?*
Do you find the classes energising?*
- Yes
- No
- Sometimes
What would you like to see more of?*
- Student Performances
- More social time in class
- More singing
- More cultural information
- More solos
- More drum circles
- More events, camps, festivals
- More international artists
- More class options
- More classes on different days of the week
- A class in your local area
- Other
Please tell us what you enjoy most or what you would like to see more?

Quick & Easy Quote

Client Details
Organisation/Company*
Contact Name*
Contact Email*
Contact Phone Number*
Event Details
Event Date
Event Location*
ZIP / Postal Code
Number of Participants*
Event Purpose/Theme*
Any Other Comments
Where Did You Hear About Rhythm Culture*

Never Done a Class Before?

Grab your half price 4 week course (New Students only)

COUPON CODE: comeandplay

How to use this coupon:

Copy comeandplay and close this window.
Scroll down and find the class you want to book.
Click on the book now button
Choose the 4 Class Pass option
Enter the coupon code, comeandplay where it says coupon and click apply.
Finish the booking and......

COME AND PLAY!

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