Planet Ballroom Student Registration

Planet Ballroom Student Registration

Welcome to Planet Ballroom - the information to be provided is not shared and is for Planet Ballroom only

Contact Information

Date*

Last Name*

First Name*

Address

Suburb*

Postcode*

Email*

Mobile Phone*

Emergency Contact Name*

Emergency Contact Phone*

Would you like to be advised of upcoming Studio information (classes, socials etc) ?

Other Comments ?

Thank You for submiting your Registration - we look foward to seeing you on the Dance Floor Soon !

Kylie Wall
Owner
Planet Ballroom

LOCATION:

UNIT 4 / 75 REDLAND BAY ROAD CAPALABA (just behind "Baby Bunting" - drive under the "archway")