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Please fill in this form to complete your booking. Details on how to pay will be given on the next page. Alternatively, head over to eventbrite and complete your booking there.

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Name *

Email *

Phone Number *

Age Range *

• 18-40
• 41-60
• 61+

should our Name

Ballet Standard/Experience *

Any medical conditions/injuries we should know about? *

Any dietary requirements/allergies/preferences? *

How did you hear about our retreat?

Emergency Contact Name *

Emergency Contact Phone *

Their relationship to you *

Consent *

• I have read the terms and conditions
• I would like to receive email updates about future retreats (optional)
• I am happy to be added to a WhatsApp group for participants on this retreat
• I am happy for photos and videos of myself to be used for marketing and social media (optional)

Proceed to Payment