Student Enrolment Form
NEWCASTLE FLAMENCO DANCE
Name:
*
First Name
Last Name
Type of enrolment:
Family Enrolment
Individual Enrolment
$20 trial class
Birthday:
*
-
Month
-
Day
Year
Date
Email:
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number:
*
Please enter a valid phone number.
How long have you been dancing flamenco for?
Please choose which class/classes you would like to join:
*
Gypsy Gym Monday Swansea 6:30-7:30pm )
Beginner Flamenco Tuesday Mayfield 6-7pm
Intermediate Flamenco Tuesday Mayfield 7-8pm
Gypsy Gym Wednesday Windale 10-11am
Gypsy Gym Wednesday Mayfield 6:30-7:30pm
Gypsy Gym Thursday Hamilton 9:30-10:30am
Children’s Flamenco Thursday 4:30-30pm Mayfield
Advanced Flamenco Thursday Mayfield 6-7:30pm
How did you hear about 'Newcastle Flamenco Dance'?
Do you give 'Newcastle Flamenco Dance' permission for the student to be photographed and videoed for promotional purposes?
Yes
No
Sign up to receive updates about new classes, workshops & performances:
Yes
No, thanks
Signature:
Submit
Should be Empty: