Application

Fitness and well-being

Zumba, Yoga & Meditation Application Form

Please complete the form below. Information on all fields are compulsory.

Once registered, we will get back to you with schedule and further details.

Yoga & Zumba Application Form

Sessions you are enrolling

First Name

Last Name

Gender

Age

Address

First line of Address

Postal Code

Country

Primary Contact number

Next of Kin

Next of Kin Contact

I have read and agree to the Terms and Conditions and Privacy Policy of NBC-UK.

I can confirm that I am fit to take part in the selected activities and I it is my responsibility to take care of my own health.

I agree to take photographs and short videos of activities where I am involved. These are used within NBC-UK media platforms and projects only and not for commercial purposes.

I consent NBC-UK to keep my personal details during the period of the project and as long as it is necessary for legal requirements of record keeping.

Digital Signature

Date

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Application

Fitness and well-being

Zumba, Yoga & Meditation Application Form

Stay Up-to-Date

Visit our News section for regular updates

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