JAM Dance Registration Form

Bollywood Dance Classes

By JAM Dance Academy, Brussels
Email ID
example@example.com
Phone Number (WhatsApp)
Format: (000) 000-0000.
Name

First NameLast Name
Class Type
With regular classes, it is possible to carry forward upto 2 classes in case you miss.
Payment Method
Please make the payment to the following account and upload the screenshot.

Name: Shweta Rajani

IBAN: BE96 7380 5250 4405
File Upload

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Additional Comments
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Bollywood Dance Classes