Linden Dance Keep Moving Registration

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Thank you for expressing interest in our Keep Moving dance sessions!

The sessions will be held on either a Saturday or Sunday at the end of each month and details will be sent out in advance of the session.

Please complete this short registration form so we can send you all the details for the sessions.

We look forward to dancing with you soon!

Sara & Chris

Directors of Linden Dance Company

Email: lindendancecompany@gmail.com
Instagram: @linden.dc
Facebook: /LindenDanceCompany

The Keep Moving sessions are supported by FABRIC and United by 22 and part of the Critical Mass legacy.

Full Name *

Date of Birth *

YYYY

Gender *

Female

Male

Prefer not to say

Other:

Email Address *

Phone Number *

Address *

Emergency Contact Name *

Emergency Contact Email Address *

Emergency Contact Phone Number *

Please define any identified disabilities, access requirements or medical/health conditions: *

Please let us know if you take any medication, or have allergies or dietary requirements:
*

Do you consent to Linden Dance sharing your personal data with FABRIC, United by 22 and other key stakeholders? *

Yes

Do you consent to Linden Dance Company taking and sharing video/images of you in promotional materials? *

Yes

Do you consent to photos being taken by external partner companies and used by them? *

Yes

Do you have any other questions?

Submit

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