Pop-up Workshop Sign up Form

Please fill out the registration form below before continuing on to payment for your chosen workshop.

‍* Mandatory field

Name*Gender *Date of Birth *
Email *Contact Number *Address *

Please enter your Emergency Contact name, phone number and relation to you *Which workshop would you like to attend? *
How did you hear about us? *
If you selected other, please elaborate here
Any health conditions we should know about that may impact your ability to dance?
(Please note: You are attending our workshop at your own risk and are responsible for your health and safety)I declare that I have read and understood the Terms and Conditions and Privacy PolicyI understand that this workshop may be filmed or photographed for promotional material on Ekta Creative's socials and websiteI don't want to miss out on future workshops, keep me in the loop!

Important Note: Please don't close the window once you press submit. You will be directed straight to the payment page. Your spot is not secured until your payment is complete.

Thank you! Your submission has been received.
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If you are not automatically directed to the payment page, please return to the enrolment page to continue on to 'Step 2: Class Fees'
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You should receive an email response from us within 5 business days. If you do not hear anything back, please call 0478 525 726.
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NOTE: Please also check your spam/junk email folder and mark our email as "Not Spam".

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Pop-up Workshop Registration Form