ADULT FITNESS AND FUN

ADULT ZUMBA^® CLASSES @ FAIRY FEET DANCE CLUB

TUESDAYS @7PM

(45 minute class)

REGISTER NOW TO ATTEND

$15/CLASS

PAYMENT OPTIONS
1. CARD PAYMENT ON ARRIVAL (incurs 1.94% Merchant Fee)

2. CASH ON ARRIVAL
Please have correct change where possible

3. DIRECT DEPOSIT PRIOR TO CLASS WITH SMS CONFIRMATION OF TRANSFER
Acct Name: Fairy Feet Dance Club
BSB: 013 338 Acct: 1902 55273
Please use your name as reference and SMS payment confirmation to 0402 109 020 before class (by 6pm)

First Name

Last Name

Phone Number

How did you hear about Zumba® Classes commencing at Fairy Feet?

No dance experience is required for class….but we are curious to know if you have tried a Zumba class before?(required)

No have never tried a Zumba® class before

Yes have previously tried Zumba® but did not attend on a regular basis

Yes have previously participated regularly in a Zumba® class

Any other details you would like to add?

By submitting this form you are requesting a Zumba® fitness class delivered by a qualified Zumba® Instructor. Whilst Fairy Feet Dance Club and the Zumba® Instructor take all reasonable care in the conduct of it's classes, it accepts no responsibility for any risk, injury or loss caused. DECLARATION: I confirm that I am physically fit and have no medical condition that would prevent my participation in class. I understand that it is my responsibility to consult with a medical practitioner prior to participating in any Fitness Program.

ADULT FITNESS AND FUN

ADULT ZUMBA® CLASSES @ FAIRY FEET DANCE CLUB

TUESDAYS @7PM

REGISTER NOW TO ATTEND

$15/CLASS

ADULT ZUMBA^® CLASSES @ FAIRY FEET DANCE CLUB