Basic Beginner Waiting List request

Please complete the form below to be added to my Basic Beginner course waiting list.

Your name will be added to my waiting list and I’ll contact you if I start another Basic Beginner course.

time dance dance

First Name *

Last Name *

Email *

Email

Confirm Email

Phone No *

Do you have any previous dance experience? *

• Yes
• No

i.e. Zumba, Ballet, Rock n Roll etc

Please tell about your past dance experience

Please select your preferred time of day *

• Daytime
• Evening
• No preference

Please select your preferred location *

• Adventure School Hall, Whitby
• North Wellington Indoor Bowls Hall, Titahi Bay
• No preference

Do you have any questions or want to add any extra information to your enquiry?

Submit