The following form is long, but it does enable the instructor to know a little about you and advise on which class is best suited for you. Not all boxes may seem relavant if attending a Zumba class, so please just put N/A in those boxes.
ALL BOXES NEED TO BE FILLED with an answer before form will submit properly. When submission is successful, a THANK YOU page will appear on the screen and you will receive an automatic email response with your form answers in it (check junk folder). If you dont have either of these things, you will need to submit again as it didnt go through.
Please take extra care when typing your EMAIL otherwise, the instructor cannot contact you back!!
If form does not load for you on your device, dont despair! - please email me
Data Privacy - By submitting this form you consent to this data being collected and stored for if you attend class. It will be deleted after 2 months if you have not attended or communicated with us in that time.
This form collects your name and email address along with your health information so that we can communicate with you and provide you with assistance and keep everything you do in class as safe for you as possible. We do NOT pass on or sell on your data and information. Please visit the Terms and Conditions page as by filling this form in, you are agreeing to them.