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January School Holidays Registration Form 2013 56 Cone Street, Madden, ACT 2904 P 6298 5500 F 6298 5596 www.mpowerdome.com.au TH Week 1: Monday 14 January Friday 18 January 2013 Week 2: Monday 21st
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Write down the date and time.
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Indicate the event or occasion where the water will be needed.
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Please bring a water is a request for someone to bring a bottle or container of water.
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