Dance Classes Registration

Dance Classes Registration Form
Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Relationship *
Phone Number*
Please enter a valid phone number.
Level of Experience*

BeginnerIntermediateAdvanced
Medical Conditions or Allergies*
Special Occasions / Events / Workshops: please provide details of your request below. A separate service fee will be issued based on your request.*
How did you hear about us?*

Word of MouthWebsiteSocial MediaEvent abriteOther
Terms and Conditions:

By submitting this form, I acknowledge that participation in dance classes involves physical activity and I hereby release the dance studio, participants, and its instructors from any liability for injuries or accidents that may occur during classes or events.
Signature*

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Date signed*

MonthDayYear
Date
Classes / Series Types
prevnext( X )
FUZED Dance Fitness (60 mins) Dynamic HITT, sculpt, tone+ cardio bursts mashed with choreo, & grooves.
$25.00 Quantity



FUZED HIIT Strength & Tone (60 mins)Dynamic HITT, sculpt, tone+ cardio bursts — dumbbells & floor mats
$35.00 Quantity



FUZED Dance Fitness Series (5 - 45 min sessions)Dynamic HITT, sculpt, tone+ cardio bursts mashed with choreo, & grooves.
$115.00 Quantity



FUZED HIIT Strength & Tone Series (5 - 45 min sessions)Dynamic HITT, sculpt, tone+ cardio bursts — dumbbells & floor mats
$160.00 Quantity



Total

$0.00
All Classes, Series, and Training Sessions take place on the following days:

Sunday

Monday

Saturday

Locations:

Cabin John

Times, and location will be discussed and verified via confirmation email after booking is completed.
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

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Dance Classes Registration Form