Zumba Sessions
Run by Zumba Instructor; Elizabeth Van Duyvenbode thanks to funding from Sport England
The sessions are open to anyone 17 and over.
Under 17's can join in the sessions but are required to be accompanied by a responsible adult for the duration of the class.
Name of Participant
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Your email address
example@example.com
Your mobile number
-
Area Code
Phone Number
Please provide details of any medical conditions that the instructor need to be aware of:
Person to contact in an emergency
First Name
Last Name
Phone Number for emergency contact
-
Area Code
Phone Number
Submit
Should be Empty: