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*

Intended Classes (Hold ctrl key + click for multiple selections)*

Student Last Name*

Student(s) First Name(s)*

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 ?