Ceroc Buckingham Monday Class Contact Form
Please note that this form is not our booking system. This is purely a way for you to provide additional details for members booked onto Monday night socially-distanced Ceroc classes. Make sure you have already booked and paid for your couples tickets by clicking the link underneath:

https://www.network.ceroc.com/Applications/COS/PaymentModules/PM-FMO?e=5833
Email address *
Emergency Contact Number *
Dates Attending *
Required
Leader's Name *
Leaders Membership Number
Follower's Name *
Followers Membership Number
Additional Contact Information *
Partner's email or phone number
Submit
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