Register | Zouk Dance Academy

Name *

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What do you identify as? *

Contact number *

E-mail *

Which course are you interested in?

Exploring Kinnection
Zouk Foundations

Which days/times are you available?

How did you hear about Zouk Dance Academy? Check all that apply. *

Recommended by someone
Saw a post on social media (Facebook, Instagram, etc)
Did a general online search and came across the school
Not listed here

We respect your privacy! In accordance with the Personal Data Protection Act 2012, your information will only be used for the processing of this application and the administration of membership with ZOUK DANCE ACADEMY. We will never share your information with any third parties. *

I understand and agree to this use.

We would love to update you on exciting Brazilian Zouk events, classes, as well as informative articles. Which modes of communication would you like to receive updates on (check all that apply)? *

Photographs and/or videos may be taken during classes and dance socials for marketing purposes. Please let us know if we may include personally identifiable images of you in our marketing materials. *

Feel free to include me
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In order to participate in classes, please agree to the following Liability Waiver: *

I realize that participation in dance classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By checking this box, I assume all risks related to the use of any and all spaces used by Zouk Dance Academy. I agree to release and hold harmless Zouk Dance Academy including its teachers, dancers, staff members and facilities used by Zouk Dance Academy from any cause of action, claims, or demands now and in the future. I will not hold Zouk Dance Academy liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I agree to obey the class and facility rules and take full responsibility for my behavior in addition to any damage I may cause to the facilities utilized by Zouk Dance Academy.

Any other questions/comments for us?

Register your interest