Adult Expression of Interest

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

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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 *

Submit