Registration Form

Registration Form
Customer Details:
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail
example@example.com
Social Media Handle
Feel free to share your Instagram handle with us
Dropin $60Monthly package $200
CashBank Transfer
For Bank Transfer

Name: Catherine Afi Helenese-Carraby

Bank : First Citizen Bank

Acc# : 1272723 (Savings)
Disclaimer!

By signing this document, I understand that there is a risk of injury associated with participating in Soca Step. I hereby assume full responsibility of any injuries, losses and damages that I incur while attending Soca Step. Additionally, I hereby grant permission to Soca Step the right to use, edit or publish any images, videos and audio from Soca Step events for promotional as well as related social media display.
Should be Empty:

Disclaimer!