Zumba for All sign up Form
Sessions are free and open to everyone. Sessions take place at Grand Junction, St Mary Magdalene's Church, W2. Please wear suitable clothes and trainers for working out and bring a bottle of water.
Name
*
First Name
Last Name
Gender
*
Male
Female
Non - Binary
Prefer not to say
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Emergency Contact Name - This person will only be contacted in an emergency
*
First Name
Last Name
Emergency Contact Number
*
Relationship to you
*
Have you been to Grand Junction before?
*
Yes
No
Have you ever attended a fitness class before?
*
Yes
No
Do you have any medical conditions that we need to know about, so we can best support you in the Zumba class?
Yes
No
Are you happy to be photographed for future promotion on Grand Junction's website and social media?
*
Yes
No
Do you want your email added to our mailing list?
*
Yes
No
Submit
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