I Can Charleston - Beginners Class Booking Form - 20 Jan 2020
Start date: Monday 20th Jan 2020
Finish date: Monday 17th Feb 2020
Time: 7pm - 8pm
Venue: Jubilee House (The Marks Room), 74 High St, Madeley, Telford TF7 5AH

5 week course - £30
Email address *
Name *
Your answer
Address *
Your answer
Contact Mobile *
Your answer
5 week course fee: £30
Bank transfers or cheque accepted. Details are as follows:
Please settle by Bacs:
HSBC
Account name: I Can Dance Shrewsbury
Sort code: 40-41-30
Account no. 72235382
Ref: 'Your name & ICCM Jan 20'
Or cheque made payable to 'I Can Dance Shrewsbury':
Ref: 'Your name & ICCM Jan 20'
Postal address
Mrs S A Bright
Forton Heath Cottage
Forton Heath
Shrewsbury
SY4 1HA
* Please note you are not booked on to the course until the course fee is received. On receipt of payment you will be sent a confirmation of booking and further class details
I give permission to appear in class photos and/or class video footage used for 'I Can Dance Shrewsbury' promotions. I am aware that the stated media may feature on the company website and on social media (Facebook, Instagram, Twitter). Thank you for your consent. *
Required
I am aware that I will be contacted by email regarding class news and upcoming events. *
Required
Thank you and we look forward to meeting you!
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy