Dance Dosti: Classes for Visually Impaired Adults: Southall, Ealing: Every Saturday, 2.30-3.30pm

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Register for our free dance classes for visually impaired people, in partnership with Everyone Active. Classes take place every Saturday from 2.30-3.30pm at Southall Sports Centre, Beaconsfield Rd, UB1 1DP.

Learn Bollywood, Bhangra, and different dance styles in a fun, supportive environment. No prior dance experience needed.

Dance Dosti is a partnership between Step Change Studios and Metro Blind Sport, and supported by Vision Foundation. The dance classes are aimed at people from a South Asian background but all backgrounds are welcome. Once you register, we will contact you with a class reminder before your first class.

You can also register by phone: 07462 895461.
If you have any questions please call or email: admin@dancedosti.com

Name *

Email *

Telephone

Postcode *

Date of birth *

YYYY

Emergency contact name and telephone number *

Gender *

Female

Male

Prefer not to say

Other:

Ethnicity *

White British/Irish

White Other

Asian/Asian British

Black/Black British

Mixed (multiple ethnicity)

Other ethnic group

Prefer not to say

Please select the closest description of your vision *

Partially sighted

Blind

Do you use a guide dog?

Yes

Clear selection

Would you like support walking from Southall train station to Southall Sports Centre and back? *

Yes

On average, how many days a week do you do 30 minutes or more of physical activity which is enough to raise your breathing rate?

5 days or more

Clear selection

How did you hear about Dance Dosti?

Photography/video – I give permission for Dance Dosti partners to use photos/videos from dance that I participate in for publicity (including social media). This will be used to help engage more people with sight loss to be active. *

Yes

I understand that I am voluntarily participating in Dance Dosti classes with Step Change Studios that will involve movement and physical activity. It is my responsibility to consult with a doctor regarding my participation. By selecting 'yes' to this statement, I am agreeing not hold Step Change Studios or partners responsible for any injury or property damage that I may suffer as a result of my participation in any activity in connection with Dance Dosti and Step Change Studios. *

Yes

Please use this space if you have any comments or questions

Name of parent/guardian if participant is under 18 or lacks capacity to consent.

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