Wellington Region Classes 2020
Upper Intermediate Class 1: 15 August 2020 9.30am - 12.30pm
Upper Intermediate Class 2: 12 September 2020 9.30am - 12.30pm
Advanced Class 1: 15 August 2020 1.00pm - 4.00pm
Advanced Class 2: 12 September 2020 1.00pm - 4.00pm
Please complete a separate form for each person
Emergency Contact Person
(name and phone number)
How many years have been dancing?
Which club do you dance at?
Club teacher's Name
(Your teacher may be contacted to confirm that you have chosen the correct class)
Which classes do you wish to attend?
(Select all that apply)
15 August Upper Intermediate. Online banking reference: UIntA.
12 September Upper Intermediate. Online banking reference: UIntB.
15 August Advanced. Online banking reference: AdvA.
12 September Advanced. Online banking reference: AdvB.
How will you pay for the classes?
Internet banking preferred.
Internet Banking. Please include the online banking references shown above.
Cheque by Mail
Total amount paid
(each class is $15)
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