Registration Form

Join our classes by filling out the form below.

Your Registration Details

Participant

Last Name *

First Name *

Email Address *

Date of Birth *

Street *

House Nbr. *

Postal Code *

City *

Phone

Mobile *

Course Selection

DANCE - KIDS

Urban Baby (3-5 years)

Urban Mini (5-7 years)

Cheerleading (8-12 years)

Commercial (8-12 years)

Hip-Hop (8-12 years)

Hip-Hop New Style (8-12 years)

Ragga (8-12 years)

DANCE - TEENS

Breakdance (Level 1)

Hip-Hop (Teens)

K-Pop (Teens)

DANCE - TEENS AND ADULTS

Afro (Teens-Adults)

Afro Heels (Teens-Adults)

Breakdance (Level 2)

Cheerleading (Teens-Adults)

Commercial (Teens-Adults)

Commercial Heels (Teens-Adults)

Crew (Teens-Adults)

Girly (Teens-Adults)

Hip-Hop New Style (Teens-Adults)

Ragga (Teens-Adults)

Urban Adults (Adults)

FITNESS

Body Combat

Bootcamp

Circuit Training

Gentle Gym

HIIT

Step

Team Running

Urban Step

Zumba

Personnal Training

Emergency Contact

Full Name *

Emergency Contact Number *

Consent

I agree that Urban District may collect and use my data for internal management purposes and for GDPR compliance regarding association members.

I authorize Urban District to publish photos or videos in which I or my child may appear, for non-commercial purposes (journal, program, flyer, social networks).

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I do not agree

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