Gift Certificate Class Registration Gift Certificate Class Registration Form "Please complete this form to register for the class for which you would like to use your gift Certificate. Thank you." Which class would you like to book?*Adult BeginnerAdult IntermediateRock 'n Roll for BeginnersIntermediate Rock 'n RollChildren's MedalPrivate LessonClass Date*Children's Medal - Term 4 - Monday 25 October 2021Adult Beginner Monday 25 October 2021 7.45pmAdult Beginner Tuesday 26 October 2021 7.15pmAdult Beginner Tuesday 26 October 2021 8.30pmAdult Intermediate Thursday 28 October 2021 8.45pmPlease ring 0402 069 576 to make booking for private lessonParticipant's Name* First Last If a couple, 2nd participant's name First Last Mobile Phone*Email Address* Terms and Conditions* I have read and agree to the published Terms and Conditions.CAPTCHA Δ