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JAZZ, HIP HOP, ACRO & LYRICAL DANCE CLASSES IN KERIKERI NZ

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Adult Expression of Interest

This Expression of Interest form is for people interested in adults (16+) dance and fitness classes for 2022.

Name *

First

Last

Contact Number *

Email *

Please Select Your Preferences: *

Ladies Only
Jazz
Hip Hop
Dance Fit
Over 55’s
Heels
Any

Preferred Days

Monday
Tuesday
Wednesday
Thursday
Friday

Preferred Time *

Morning
Afternoon
Evening

Specific Days/Times (Optional)

Would you Prefer *

High Impact: Higher intensity exercise – jumping, bending, cardio, flexibility work etc.
Low Impact: Gentle exercise for those with injuries, arthritis, bad joints etc.

Gender (Optional)

Male
Female

Fitness Level/Dance Experience

Beginner
Intermediate/Advanced
Either

Main reason for attending a class

Fun & Socialising
Fitness or Weightloss
Other

Comment or Message *

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Our Studio
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Daycare Dance
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