Since 1952

 

Enrolment Form:

Please provide the following contact information:
 Use the Tab key to move to the next field

If more than one person enrolling, please submit a separate form for each person

First Name
Last Name
Postal Address
Address (cont.)
Suburb
Home Phone
Mobile or Work Phone
E-mail
This e-mail address will be used for confirmation and reminder only
After enrolment you can receive notices of new courses and special offers.  Your address will not be passed on to anyone else.
Yes I want to receive future news and special offers

No I don't want to receive future news and special offers

Which course do you want to enroll in:

Tick the Course, Level and Day 

Starting Date of Course:     dd/mm/yy  

SOCIAL Ballroom & Latin Monday 8.00 pm
Wednesday 8.00 pm
Saturday 10.30 am
SALSA Beginners Thursday 8.15 pm
Intermediate Thursday 7.15 pm
  Advanced Thursday 6.15 pm
 
STREET SAMBA & SAMBA AXE   Monday 6.30 pm
ARGENTINE TANGO Beginners Wednesday 6.00 pm
    Friday 6.30 pm
Intermediate Wednesday 7.00 pm
  Friday 7.30 pm
    MEDAL DANCING Please contact the studios  

      

 

Gift Vouchers Available
Can be for any course, private lessons, or dollar value - Valid for one year

Home/Tango/Social Dancing/Salsa/Rock and Roll/Sequence/Medal Dancing/Weddings/Contact Details/Schedules 2010/Enrolment Form/Map/FAQ's

www.johnyoungdance.co.nz
P O Box 6189 Wellesley Street Auckland 1141  *  Level 3, 54 Wellesley Street West, Auckland 
Ph: (09) 373-9000

Copyright © 2000 - 2010 John Young Dance Studios Limited. All rights reserved.
Revised: February 26, 2010