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Class Booking Form
Ballroom & Latin Dance Fit @ PATCHAM COMMUNITY CENTRE, BN1 8TA
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1
Student Name
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First Name
Last Name
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2
Contact Number
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Please note this may be used for Test and Trace. Thank You.
Area Code
Phone Number
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3
Any injuries or medical conditions we should be aware of?
Please note that although adaptations may be suggested, participation is at your own risk.
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4
Preferred Payment Method
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Class fee is £7 per head. Any cancellations within 24 hours of the class should still be paid for. Thank you.
Cash on the day
Credit from Block Payment
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