Language
English (UK)
Pre-Register for Level 3 Classes at Eastminster: May 12, 19, 26
• Arrive at 7pm for screening • Classes are 7:30-9:30 • $25 for 3 Classes or $10ea
Dancer 1: Full Name, please
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Address (incl. Postal Code)
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Complete contact info is required for Testing & Tracing should the need arise
Primary phone number
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Dancer 1 email (the person filling in this form)
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Dancer 2: Name & email if applicable
Comments?
Covid-19 Vaccination Affirmation
i.e. Are you fully vaccinated and do you have proof to show on entry?
Vaccination Status
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YES, I (or we) am/are Double Vaxxed
NO, I (or we) am/are NOT Double Vaxxed
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