Adult sign up form

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Adult sign up form

Once completed you will receive an email to confirm sign up to the class!

Name *

Address *

Contact number *

Contact email address *

Any allergies? *

Any medical conditions? (eg asthma etc) *

Emergency contact name *

Emergency contact number *

Class enrolling onto: *

Any other notes for us to know or be aware of please list below, this can also be discussed with the Principal Jemma who is happy to help in any way.

Payment information:

You can pay for classes weekly or in a bulk but please ensure the payment is sent before each lesson.

Confirm below please that you agree to this:

Yes

Submit

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