Ballet Basics - Adult Ballet Course
For adults over 18 years - no upper age limit
6 week course
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Personal Information
First Name(s) *
 Surname *
Any relevant medical information or injuries
Address *
Post Code *
Email *
Mobile Telephone *
Home Telephone
I am 18 years or over *
Emergency Contact Information
Please provide a name and contact number in case of emergencies.
Name *
Telephone Number *
Payment
The course fee of £40 must be paid on or before the first class of the course. Once the course has commenced, course fees are strictly non-refundable. Upon booking you will be provided with a course fee invoice with booking confirmation. You may choose to pay by debit/credit card which will incur a small transaction fee or alternative payment options are PayPal or Bank transfer, these options are stated on the invoice.
Terms & Conditions
Any person who participates in dance classes or courses provided by Deborah Hoskins Dance shall do so at his/her own risk. He/she shall assume all risk involved, including but not limited to all loss or stolen property, cost, claim, injury, damage, or liability sustained while participating. Deborah Hoskins Dance will not be held liable for any misfortune that may occur.

The participant agrees to inform the class instructor of any relevant injuries or health issues.
Participants acknowledge that there are inherent risks in taking physical exercise and there is no medical reason they cannot undertake any dance programme.

The information provided in this form will be treated confidentially and will be used for administration purposes only. No information will be released to any external party. Please visit www.deborahhoskinsdance.co.uk to view the full privacy policy.

By ticking below, you are agreeing to the above and are certifying that you understand the nature of physical activity involved in dance activities and certify that you are in good health and have consulted a doctor before beginning this dance program if necessary.

I have read and understood the terms and conditions *
Name *
Date *
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