Registration: Ballroom Dance for Blind & Partially Sighted Adults, Saturdays, 10.45-12.00. £5 per class
Join Step Change Studios for beginner ballroom and Latin dance classes for blind & partially sighted adults (16+). Classes take place every Saturday from 10.45-12.00 at King's College London, Strand Gym (Studio 2), North West Wing, Bush House, 57 Aldwych, London WC2B 4PA. The classes includes volunteer dance partners who can also support between Holborn Station and the venue . There is a fee of £5 per class.  

Students can join every week or when they are able. Please complete this registration to take part. We will then contact you with helpful information for your first class. If you have any questions or would like support with this form, email: info@stepchangestudios.com 

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First name and surname *
Email *
Telephone
Postcode *
Date of birth *
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Emergency contact name and telephone number *
Please state your gender (leave blank if prefer not to say)
Ethnicity *
Please select the closest description of your vision *
Are there any additional needs or information about yourself that is helpful for us to know?
Do you use a guide dog?
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Do you require support between the local station (Holborn) and venue? *
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?
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How did you hear about this dance programme? *
Photography/video – I give permission for Step Change Studios to use photos/film of me taking part in dance for publicity (including social media). This will be used to help engage more people to enjoy dance & to raise awareness. *
I understand that I am voluntarily participating in dance 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 responsible for any injury or property damage that I may suffer as a result of my participation in any activity in connection with Step Change Studios. *
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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