Dance in the Community Class Registration
Fill out the form carefully for registration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City/Town
County
Post Code
Contact E-mail
*
example@example.com
Contact Phone Number
*
Sessions Available
*
Please note any former experience or relevant information for your teacher.
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Adult Tap Class (Trial) Norfolk
Wednesdays 6.30pm (45 minute session)
£
5.00
Quantity
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Item subtotal:
£
0.00
Adult Ballet Class (Trial) Norfolk
Wednesdays 7.15pm (45 minute session)
£
5.00
Quantity
1
2
3
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5
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9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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