Become a Silver Swan Registration Form

RAD Silver Swans® with Sarai at the Recreation Rooms, Leighton Buzzard

Enrolment Form - New Silver Swans

Free Taster Class

Monday Beginners 10:30am - 11:30am

Monday Improvers 11:30am - 12:30pm

Tuesday Improvers 8:00pm - 9:00pm
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail
Medical conditions/Injuries - please enter any details below
Any additional information you would like to share with Sarai
The information you provide will be protected in accordance with the Data Protection Act 1998 and the General Data Protection Regulation 2018.Your personal information will be kept safe and secure and will not be shared with third parties other than in circumstances such as with the NHS Trace and Test Scheme if contacted.
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