Julias Dance Studio - Adult Dance Class Form
Welcome to Julias Dance studio. We want you to have the best experience possible whilst with us, therefore we would ask that you ensure that you are fit enough to take on exercise safely. You should be aware of your fitness level and how classes may impact on any pre-existing conditions. As with any new form of sport or physical exertion you should be sure of your fitness level. If you have any concerns, please visit your doctor and speak to your teacher before starting.

Please complete the below to the best of your knowledge
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Email *
Full name *
Date of Birth *
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Phone number *
Address  *
Emergency Contact name & number *
I would like to attend *
Required
Do you have any medical conditions Julia's Dance Studio needs to be aware of (this is to ensure we can plan for safe dance practices) *
Dance classes involve risk of personal injury. While Julia's Dance Studio takes all reasonable care in the conduct of its classes, it accepts no responsibility for injury caused during class or whilst participants are at or near the venue. You are responsible for ensuring that you are physically and mentally fit for the class. 

I understand the nature of this activity and that I am in good health, and in proper physical condition to participate in such activity
 *
A copy of your responses will be emailed to the address you provided.
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