Ballroom & Latin @ Court Farm Studios

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Attendee 1* This field is required.

First Name

Last Name

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Attendee 2(Skip if attending without a partner)

First Name

Last Name

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Contact Telephone Number* This field is required.

Phone Number

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Email

example@example.com

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Any Injuries or Medical Conditions we should be aware of?* This field is required.Please give details or else write "none" below

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Payment Details* This field is required.This course costs £48 per head. The total amount is payable via bank transfer to "East Sussex Dance" (Santander) Sort code 090127 Account 35859530

Date of Transfer

Payment Reference

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COVID-19 Agreement* This field is required.By attending you accept that in a Ballroom dancing class, Social Distancing cannot be guaranteed. Attendance is at your own risk. Thank you.

I understand that if I test positive for COVID-19 I should not come to class

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Solo Attendees - Partnering OptionsWhilst partnering for solos cannot be guaranteed, it would be useful to know your preferences before attending.

I would prefer to dance solo

I would like to dance with one fixed partner, if one is available

I would be happy for the teacher to partner me when she is not helping others