Personal details

Name (for name tag)

Club (for name tag)

Address

Phone

Email (see note below)

Note: If the person registering does not have an email address, enter the address of the person submitting the form on their behalf and then tick this box:
Submitted on behalf of the person registering

Emergency contact

Name

Relationship to you

Phone

Please select one of these classes

For less experienced dancers who wish to improve their dancing and confidence.
Intermediate
For less energetic dancers with a good knowledge of formations.
Low Impact
For experienced dancers wishing to enjoy dancing at an advanced level.
Advanced

High Energy class
A short class on Saturday afternoon for fit dancers at intermediate level and up, to dance with exhilaration.
Do you intend to join this class?
NoYes

Register

Disclaimer:
Persons attending this school do so at their own risk. Although every reasonable effort will be made to make the school a safe and enjoyable event, the Waikato/Bay of Plenty Region disclaims liability for any loss or damage to property or injury to persons during the school.
Please confirm that you have read the disclaimer