Sarah Swirled Belly Dance
  • Welcome
  • *** COVID Update ***
  • About
  • Beginners Classes
  • Summer Workshops 2022
  • Beginners Starter Course
    • Preston, Penwortham
  • Women's Institutes & Trefoil Guild
  • Haflas
  • NEW Arabian Nights (Hen) Party
  • ** Belly Dance Gift Packages
  • Charity
  • Parties and Celebrations
    • Belly Dance Birthday Cake
  • Workshops
  • Performance
  • Demonstrations
  • Events
    • From Egypt to Penrith (Part 2)
    • Sequins on My Balcony
  • Out and About
    • 2013
    • 2014
    • 2015
    • 2016
    • 2017
    • 2018
    • 2019
    • 2021
    • 2022
  • Cross Stitch Cards
  • Blog
  • Contact Me
  • Photo Gallery
  • Gift Vouchers

Health Questionnaire

Picture
www.sarahbellydance.co.uk
sjgarrish@googlemail.com
07815 549581






    Statement: I recognise that the teacher is NOT able to provide me with any medical advice with regard to my medical fitness, and that the information given is only to be used as a guideline to the limitations of my ability to dance. I have answered the questions to the best of my knowledge, and I understand the above advice. I also undertake to advise the teacher if any medical condition/s develop/s which might affect my ability to dance.


    By sending this form you agree to the terms and conditions mentioned in the statement above. Please print these terms and conditions and retain for your information.

    All the personal information you provide on this form is used in the strictest of confidence and will not be passed on to third parties. I will only use this information should I need to get in touch in case of emergency, class cancellation or to notify you of upcoming events.
Submit
Powered by Create your own unique website with customizable templates.