Spotlights over 50s Registration Form

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Registration Form

Name *

Email address (for correspondance) *

Phone Number (for correspondance) *

Emergency Contact details *

Any medical condition we need to be aware of *

Tick all classes you may attend *

Standing Exercise to music Monday 12.00 at Woosehill Scout Hut

Seated Exercise to music Wednesday 11.00 at Christchurch, Woodley

Pilates 9.30 Friday at Cornerstone, Wokingham

Seated Exercise to music Wednesday 10.00 at Christchurch, Woodley

Standing Exercise to music Wednesday 12.00 at Christchurch, Woodley

Zumba Gold Thursday 11.00 at The Space Hub (Vibez) Woodley

Pilates Monday 1.30 at Earley Crescent

Zumba Gold Friday 11.00 Winnersh Community Centre

Chair Pilates Monday 2.30 at Earley Crescent

Pilates 12.00 Thursday at The Space Hub (Vibez) Woodley

Pilates Tuesday 11.00 at Twyford Scout Hut

Standing Exercise to music Tuesday 1.45 at Woosehill Scout Hut

Pilates Tuesday 12.45 at Woosehill Scout Hut

Ballroom and Latin Thursday 1.30 at Twyford Scout Hut

Required

Where did you hear about Spotlights *

I give permission for the above details to be kept on a password protected Computer Database, you are assured that confidentiality is maintained at all times. You will only be contacted in relation to Spotlights Dance Centre and your information will not be shared. *

I agree

I disagree

Limitation of Liability

Although every attempt will be made to minimise the risks associated with physical activity, Spotlights Dance Centre accepts no liability for any injury or loss incurred during classes.

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Signature *

Date *

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