Ballroom & Latin American Dance Classes Form

1

Name

First Name

Last Name

2

Phone Number

Please enter a valid phone number.

3

Email

example@example.com

4

Date of Birth

Date

5

Once-off Registration fee of R350 once per year.
Fees are R450 per month before the 27th of every month
blanks

6

Type a questionBy signing you agree to a full year affiliation

7

Signature