You can always press Enter⏎ to continue
Ballroom & Latin Dance Fit Booking Form
Wednesdays 10.15am @ PATCHAM COMMUNITY CENTRE
START
1
Student Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Contact Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
4
Payment
*
This field is required.
Class fee is £7 per head. Any cancellations within 24 hours of the class should still be paid for. Thank you.
I accept the payment terms above
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
4
See All
Go Back
Submit
