Gotta Dance Membership Form

Title  
First Name*  
Last Name*  
Date of Birth (yyyy-mm-dd)
Address*  
Post Code*  
Town / City*  
Nationality*  
Phone* Home
Work
GSM
Email*  
Select Season for which you wish to join*
I agree that Gotta Dance may send me emails about forthcoming events
What kind of dancing have you done?
What are you hoping this club will bring you?
Please list any special skills that you have that you would be willing to use to help run the club (e.g. accouning, computing, publicity)?
* Required fields (please supply at least one phone number)

NOTE:
By submitting this application for membership, you are agreeing that Gotta Dance may maintain the above information in electronic form. Gotta Dance will not release these details to any other party.