REGISTRATION FORM

Trigger Contemporary Dance Workshops

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Name *
Name
Trigger workshop city *
Event *
Please select the event(s) you would like to attend:
If you would like a private and/or group coaching session please tell us what you would like to work on
T shirts
Trigger dance t shirts available. $30 each. Please see www.ascolour.co.nz for sizes and colour descriptions
Tell us in less than 100 words about your dance experience, where you learn/teach so we can get to know you!
Please tell us about any injuries or health concerns you have so we can keep you safe:
Please note: Name / Relationship / Phone / Email:
I understand that my place in the workshop will only be held once payment has been received and payment is nonrefundable. *
Once your registration has been processed we will email you with payment information.