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* Name:  
* Email Address:        

* Preferred course:  
  Preferred course 2:    
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* Preferred duration  
One time 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9+ weeks

* Preferred times per week  
Once p/week Twice p/week 3 days p/week 4 days p/week 5 days p/week 6 days p/week 7 days weeks

* Preferred day
Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays

* Preferred time
10:00-1:00pm 12:00-3:00pm 1:00-4:00pm 2:00-5:00pm 3:00-6:00pm 5:00-8:00pm 6:00-9:00pm 7:00-10:00pm 8:00-10:00pm

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