Introduction to dance for people living with Parkinson's application form - Northern Ireland 2019
Event Timing: Saturday 11 May - Sunday 12 May 2019
Event Address: Crescent Arts Centre, 2 - 4 University Road, Belfast BT7 1NH
Contact us: parkinsonsdance@communitydance.org.uk

Deadline for applications: Thursday 18 April 2019

Please complete the application form and press 'Submit' when it is completed. You will be informed of the results of your application within 14 days of your submission. Information about course prices can be found on the website. If you have any questions or need any help, please email us or telephone the People Dancing office on 0116 253 3453.

First name *
Your answer
Last name *
Your answer
Job title/Occupation *
Your answer
If you are a People Dancing member please provide your membership number
Your answer
Email *
Your course information will be emailed to you so please ensure you provide an email address.
Your answer
Contact telephone number *
Your answer
Address (inc postcode): *
Your answer
Where did hear about the course? *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service