Booking Form


NAME: ............................................................. DATE OF BIRTH:....................................... MALE/FEMALE:............................................... OCCUPATION:.......................................... ADDRESS: ......................................................................................................................... .......................................................................................................................................... POSTCODE:....................................................................................................................... EMAIL ADDRESS: .............................................................................................................. TELEPHONE: ..................................................................................................................... HAVE YOU PREVIOUSLY ATTENDED A CITYMOVES CLASS? YES / NO (DELETE AS APPROPRIATE)


COURSE / WORKSHOP BOOKINGS CLASS NAME: ......................................................................DAY: ....................................


TIME: ..................................................................................COST: .................................... CLASS NAME: ......................................................................DAY: .................................... TIME: ..................................................................................COST: .................................... CLASS NAME: ......................................................................DAY: .................................... TIME: ..................................................................................COST: ....................................


I have enclosed a cheque for £................ made payable to Aberdeen City Council. Please return to citymoves, c/o Aberdeen Art Gallery, Schoolhill, Aberdeen, AB10 1FQ


The information that you have provided will be held by citymoves in accordance with the 1998 Data Protection Act. If you do not wish to be added to the citymoves mailing list. please tick here [ ]


Occasionally classes may be photographed or video-ed, and these photographs my be used for publicity purposes, If you do not wish to be photographed or video-ed.


please tick here [ ] Please note Proof of concessionary status will be necessary at the first class attended. 01224 611486 www.danceaberdeen.org.uk 11


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