Dance Gems
Inspiring Dance
07968 942 479
ENROL ONTO A COURSE/CLASS
We are Delighted to Welcome You To Our World of Dance.

The First Step is to Complete the Registration Form Below, so that we can get you enrolled onto a Course/Class.

Select Course/Class:
First name:*
Surname:*
Adult:* I am 18 years old or older

Home Address:*
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Country:*
Personal Email:*
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Emergency Contact Name:*
Their relation to you:*
Their Mobile/Primary Phone:*
Their Home/Secondary Phone:

Please state any medical conditions, allergies, access problems or special learning needs that affect you.
Conditions/Needs:*
Terms & Conditions:
Agreement:* I have read, understood and agree to these Terms & Conditions

How did you find out
about Dance Gems?:

SEND MY REGISTRATION

When you have completed the form, check all your details thoroughly and click the 'Send My Registration' Button, and then follow any further instructions.

Looking Forward to Seeing You Soon.