Request edit access
FitSteps Enrolment Form
FitSteps with Catherine & Diane

Sign in to Google to save your progress. Learn more
Which class are you registering for? *
Please tell us the date you plan to attend your first class *
MM
/
DD
/
YYYY
First Name *
Last Name *
Mobile Telephone

*

We will use your mobile number to notify you by text if a class has had to be cancelled due to illness or bad weather

Address
*
Email address

*
Would you like to be added to our email mailing list to be kept informed of future courses, classes or special events?
*
WhatsApp class groups are used to keep attendees informed. Are you happy to be added to your class group?
*
Please note that if you select no, on the rare occasion that we have to cancel a class at short notice, it's highly unlikely you'll receive notification of this.

FitSteps Dance Aerobics – Personal Responsibility & Participation Statement

Taking responsibility for our own health and wellbeing is essential.
You know your body best.

FitSteps is a dance-based fitness class involving upbeat routines, repeated patterns, and movements performed to music.

It is your responsibility to listen to your body, pace yourself, and modify movements in a way that feels appropriate for your personal health circumstances and any advice you have previously been given by a medical or allied-health professional.

We know that keeping active is beneficial, even when working with injuries or health conditions, but how you participate must always be guided by your own comfort levels, awareness, and judgement.

It is also your responsibility to seek medical advice whenever you feel it is needed, and to follow any guidance you have been given regarding safe exercise.

Your decision to take part in FitSteps, to follow any movement, or to adjust or pause at any time, is entirely your own. This is important not only for safety, but because research consistently shows that people who take an active role in their exercise choices build confidence, improve outcomes, and maintain long-term wellbeing more effectively.

Please check the box below to confirm you have read this statement in full and agree to participate in FitSteps on this basis.

If you do not feel able to agree to this, please abort this form and contact Catherine on 07730 580402.

*
Required
Payment for your class is now due. The amount is £6.50 for a one off class or £60 for a block of 10.

FitSteps with Catherine
Payment should be made to:
Catherine Cooper (Business account)   
Sort Code: 60-83-71 
Account Number: 24358260 

FitSteps with Diane
Payment should be made to:
Diane Penna (Business account)
Sort Code: 60-83-71
Account Number: 55931926

If you wish to pay by an alternative method please contact your teacher before proceeding. 
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report