BALLROOM & LATIN DANCE FIT

1

Student Name* This field is required.

First Name

Last Name

2

Contact Number* This field is required.Please note this may be used for Test and Trace. Thank You.

Area Code

Phone Number

3

Any injuries or medical conditions we should be aware of?Please note that although adaptations may be suggested, participation is at your own risk.

4

Preferred Payment Method* This field is required.Class fee is £7 per head. Any cancellations within 24 hours of the class should still be paid for. Thank you.

Cash on the day

Credit from Block Payment

5

COVID-19 Agreement* This field is required.

I understand that if I test positive for COVID-19 I should not come to class

I agree to notify East Sussex Dance should I have a positive test result following a class